Populations prone to Mycoplasma pneumoniae infections
College dorms
Military recruits
Prisons
IgM antibodies
Form pentameric structures that look like snowflakes
Can cross-react and attack host red blood cells, leading to hemolysis
IgM antibodies in Mycoplasma pneumoniae infections
Cause bleeding and coagulation, especially at cold temperatures
Nodules on chest X-ray
Characteristic finding in Mycoplasma pneumoniae pneumonia
Mycoplasma pneumoniae infections
Cause headaches
Beta-lactams (including penicillins)
Ineffective against Mycoplasma pneumoniae due to lack of cell wall
Fluoroquinolones
Effective treatment for Mycoplasma pneumoniae by targeting DNA
Tetracyclines (e.g. doxycycline)
Effective treatment for Mycoplasma pneumoniae by interfering with protein synthesis
Macrolides
Effective treatment for Mycoplasma pneumoniae by inhibiting protein synthesis
A 23-year-old female college freshman presents with persistent fatigue, headaches, and cough, with several classmates having similar symptoms. Gram stain is negative, and organism only grows on Eaton agar.
Azithromycin, a macrolide, is the most likely effective treatment for the suspected Mycoplasma pneumoniae infection.