Mycoplasma pneumoniae: A frequent cause of pneumonia among U.S. Marines in Southern California

Gregory C. Gray, Shannon D. Putnam, Lynn B. Duffy, Richard J. Reynolds, Richard J. Paver, Gail H. Cassell

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

From August 1993 through April 1994, U.S. Marines (98% male, median age 20 years) who were hospitalized with radiographically confirmed pneumonia were prospectively studied for evidence of acute Mycoplasma pneumoniae infection. Overall, 32 (36.4%) of the 88 patients with paired sera had evidence of acute infection by an elevated immunoglobulin M titer (22.7%), a 4-fold rise in immunoglobulin G titer (9.1%), a positive polymerase chain reaction result (11.1%), and/or a positive culture (5.8%). No specific symptoms or clinical findings were strong predictors of M. pneumoniae infection. Among patients with evidence of acute M. pneumoniae infection, admitting clinicians chose other pathogens as more likely etiologic agents 46.4% of the time, and over the course of the hospitalization, 10% of patients failed to receive appropriate antibiotics. These data indicate that M. pneumoniae may cause a high proportion of pneumonias among military personnel and should be considered in empiric treatment and prophylaxis.

Original languageEnglish (US)
Pages (from-to)524-526
Number of pages3
JournalMilitary medicine
Volume162
Issue number8
DOIs
StatePublished - Aug 1997
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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