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obsolete commensal Mycoplasma infectious disease

ICD-10 Codes

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Description

Obsolescence of Mycoplasma Infectious Diseases

Mycoplasmas, once considered significant pathogens, have largely been relegated to the status of commensals in humans and animals. This shift is due to advancements in medicine and a better understanding of their role in human and animal health.

  • Historical significance: In the past, Mycoplasma species were recognized as causative agents of various diseases, including contagious bovine pleuropneumonia (CBPP) in cattle [2], rat respiratory disease [6], and upper respiratory tract infections in humans [7].
  • Current status: With improved hygiene practices, vaccination strategies, and the development of effective treatments, the incidence of Mycoplasma-related diseases has significantly decreased. As a result, these organisms have become more commensal in nature, often coexisting with their hosts without causing significant harm.
  • Exceptions: While Mycoplasmas are generally considered harmless, certain species can still cause disease in individuals with compromised immune systems or underlying health conditions [1].

Key Points

  • Mycoplasma infectious diseases were once a concern but have largely become obsolete due to advancements in medicine and hygiene practices.
  • Certain species of Mycoplasma can still cause disease in vulnerable populations.
  • Improved understanding of these organisms has led to their reclassification as commensals.

References:

[1] The mycoplasmas are commensal inhabitants of the URT and cause disease opportunistically when host defenses are impaired. They may cause disease as single ... (Search Result 1) [2] Aug 6, 2010 — This organism causes contagious bovine pleuropneumonia (CBPP), a severe respiratory disease in cattle that spreads very quickly, especially in ... (Search Result 2) [6] Mycoplasma pulmonis is the primary disease pathogen associated with rat respiratory disease. Mycoplasma pulmonis is a chronic infection in rats (acquired as ... (Search Result 6) [7] by PS McNamara · 2014 · Cited by 5 — Mycoplasma pneumoniae is an important cause of upper respiratory tract infection and bronchitis/pneumonia, usually as sporadic infections or outbreaks ... (Search Result 7)

Additional Characteristics

  • Mycoplasmas were once considered significant pathogens but have largely become commensals in humans and animals due to advancements in medicine.
  • Improved hygiene practices, vaccination strategies, and effective treatments have led to a decrease in Mycoplasma-related diseases.
  • Certain species of Mycoplasma can still cause disease in individuals with compromised immune systems or underlying health conditions.
  • Mycoplasmas are reclassified as commensals due to improved understanding of their role in human and animal health.

Signs and Symptoms

Common Clinical Signs and Symptoms of Obsolete Commensal Mycoplasma Infectious Disease

Mycoplasma infections, although considered obsolete in modern medicine, can still manifest with various clinical signs and symptoms

Additional Symptoms

  • Various clinical signs and symptoms

Diagnostic Tests

Based on the provided context, it appears that diagnostic tests for Mycoplasma infections have evolved over time.

Traditional Diagnostic Methods

  • Culture with Mycoplasma-specific media is still considered a standard diagnostic test [1].
  • However, these methods may not be effective in all cases, as seen in studies where conventional diagnostic methods yielded negative results despite strong suspicions of infection [6].

Modern Diagnostic Approaches

  • Polymerase Chain Reaction (PCR) is becoming the preferred method for diagnosing Mycoplasma infections due to its speed and accuracy [1].
  • Quantitative PCR testing can be used to identify specific species, such as M. canis and M. cynos [7].
  • Reverse transcription- polymerase chain reaction (RT-PCR) assays are also available for direct detection of Mycoplasma [8].

Other Diagnostic Considerations

  • Ancillary diagnostic tests, including complete blood count (CBC), serum chemistry, urinalysis, and

Additional Diagnostic Tests

  • Polymerase Chain Reaction (PCR)
  • Culture with Mycoplasma-specific media
  • Quantitative PCR testing
  • Reverse transcription- polymerase chain reaction (RT-PCR) assays
  • Ancillary diagnostic tests including complete blood count (CBC), serum chemistry, urinalysis

Treatment

Treatment Options for Obsolete Commensal Mycoplasma Infections

Mycoplasmas are a type of bacteria that can cause various infections in humans and animals. While some mycoplasmal infections may be more common than others, there are several treatment options available for obsolete commensal mycoplasma infectious diseases.

Antimicrobial Therapy

The primary treatment for mycoplasmal infections involves the use of antimicrobials. According to various studies [4][8], the following classes of antibiotics have been used to treat mycoplasmal infections:

  • Tetracyclines: Doxycycline and minocycline are commonly prescribed tetracycline antibiotics for treating mycoplasma-related diseases [2][10].
  • Macrolides: Erythromycin and azithromycin have been used to treat mycoplasmal infections, particularly in cases where other antibiotics have failed [6].
  • Lincosamides: Clindamycin has been effective against some types of mycoplasma-related diseases [4][8].
  • Fluoroquinolones: Moxifloxacin and doxycycline have been used to treat mycoplasmal infections, particularly in cases where other antibiotics have failed [3].

Other Treatment Options

In addition to antimicrobial therapy, other treatment options may be necessary for obsolete commensal mycoplasma infectious diseases. These include:

  • Surgical debridement: In some cases, surgical removal of infected tissue or abscesses may be necessary to treat mycoplasmal infections [7].
  • Local cleaning: Cleaning the affected area with antiseptic solutions and antibiotics may also be necessary to treat mycoplasmal infections [7].

Recommendations

For complete eradication of mycoplasmas in Rickettsia cultures, a 3-week treatment with daptomycin at 256 mg/L has been recommended [5]. However, the choice of antibiotic therapy should be based on the specific type of mycoplasmal infection and the severity of symptoms.

References

[1] W Tantibhedhyangkul · 2019 · Cited by 5 [2] May 4, 2016 [3] by N Bozo · 2021 · Cited by 9 [4] Treatment. Antimicrobials commonly used to treat mycoplasmal infections include tetracyclines, macrolides, lincosamides, fluoroquinolones, and ... [5] by W Tantibhedhyangkul · 2019 · Cited by 5 [6] Nov 14, 2022 [7] by V Travail · 2023 · Cited by 2 [8] Antimicrobials commonly used to treat mycoplasmal infections include tetracyclines, macrolides, lincosamides, fluoroquinolones, and chloramphenicol (Table 92-2) [9] by M Thoendel · 2017 · Cited by 83 [10] by MR Lappin · 2017 · Cited by 339

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Differential Diagnosis

Understanding Differential Diagnosis

Differential diagnosis refers to the process of distinguishing between different possible causes of a patient's symptoms or condition. In the context of Mycoplasma infections, differential diagnosis is crucial in identifying the specific type of infection and ruling out other potential causes.

Mycoplasma Infectious Diseases: A Brief Overview

Mycoplasmas are a group of bacteria that can cause various infectious diseases in humans. Some species of Mycoplasma are commensal, meaning they live in the body without causing harm, while others can lead to disease when host defenses are impaired.

Differential Diagnosis of Obsolete Commensal Mycoplasma Infectious Disease

When it comes to obsolete commensal Mycoplasma infectious diseases, differential diagnosis is essential in identifying the specific type of infection and ruling out other potential causes. According to [1], many species of mycoplasma are commensal, meaning they live in other organisms without either hurting or harming them.

Some key points to consider when performing differential diagnosis for obsolete commensal Mycoplasma infectious diseases include:

  • Species identification: Accurate identification of the specific Mycoplasma species involved is crucial in determining the appropriate course of treatment.
  • Clinical presentation: The symptoms and clinical presentation of the patient can provide valuable clues about the type of infection present.
  • Laboratory tests: Laboratory tests, such as PCR (polymerase chain reaction), can help confirm the diagnosis and rule out other potential causes.

Relevant Information from Search Results

According to [2], Mycoplasma salivarium should be considered in the differential diagnosis in patients with culture-negative PJI (periprosthetic joint infection). Additionally, [3] notes that Mycoplasmas are commensal inhabitants of the URT (upper respiratory tract) and cause disease opportunistically when host defenses are impaired.

Conclusion

In conclusion, differential diagnosis is a critical process in identifying the specific type of Mycoplasma infectious disease present. By considering factors such as species identification, clinical presentation, and laboratory tests, healthcare providers can accurately diagnose and treat obsolete commensal Mycoplasma infections.

References:

[1] May 4, 2016 — Many species of mycoplasma are commensal, meaning they live in other organisms without either hurting or harming them, but others cause ...

[2] by M Thoendel · 2017 · Cited by 83 — Mycoplasma salivarium should be considered in the differential diagnosis in patients with culture-negative PJI, particularly those with hypogammaglobulinemia.

[3] Mycoplasmas are commensal inhabitants of the URT (upper respiratory tract) and cause disease opportunistically when host defenses are impaired.

Additional Differential Diagnoses

Additional Information

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