Mycoplasmosis

Mycoplasmosis - an acute infectious disease caused by mycoplasma. It flows mainly in the form of acute respiratory infections and pneumonia, other organs are more rarely affected.

Etiology and pathogenesis. The defeat of the respiratory organs is due to mycoplasma pneumonia. M. hominis and T-mycoplasmas parasitize in the urogenital organs. Mycoplasma is resistant to sulfanilamide preparations, penicillin, streptomycin, sensitive to antibiotics of the tetracycline group. Gates of infection - the mucous membranes of the respiratory or urogenital tract (depending on the type of mycoplasmas), where there is an inflammatory process. Transmission of the pathogen occurs by airborne droplets or by sexual contact. Pregnant women may have intrauterine infection of the fetus.

Symptoms, course. The incubation period varies from 4 to 25 days (usually 7-14 days). Infection occurs in the form of acute respiratory disease, acute pneumonia, abacterial (gonococcal) urethritis, gynecological inflammatory diseases. Excessive pharyngitis and rhinopharyngitis are characteristic for mycoplasmosis. The general state of health is satisfactory, the temperature is subfebrile. Acute pneumonia begins with chills, fever, symptoms of general intoxication. In the physical and radiological study, mycoplasmal pneumonia differs little from acute bacterial pneumonia. For laboratory confirmation of the diagnosis, serological reactions (complement fixation-RSK and indirect hemagglutination-RNGA) are used. The diagnosis is confirmed by an increase in antibody titer 4 times or more. To confirm urogenital mycoplasmosis, mycoplasma release is used.

Treatment. Assign tetracycline drugs to 0.3 g4 times a day for 6-8 days. With genitourinary mycoplasmosis, a local treatment with tetracycline is used. With pneumonia, the entire complex of pathogenetic therapy (ok-sygenotherapy, bronchodilators, exercise therapy, etc.) is carried out. The prognosis is favorable.

Prevention. Patients with mycoplasmosis pneumonia are isolated for 2-3 weeks, patients with acute respiratory infections, for 5-7 days. Preventive measures are the same as for other ARI.