What are the detection methods for Mycoplasma pneumoniae?

Jan 20, 2025 Source: Cainiu Health
Dr. Ren Yi
Introduction
Under normal circumstances, the detection methods for Mycoplasma pneumoniae mainly include routine blood tests, blood culture, antibody testing, X-ray or chest CT scans, and throat swab tests. However, it is important to note that different detection methods have their own advantages and disadvantages. In clinical practice, the appropriate testing method is often selected based on the patient's specific condition and the testing capabilities of the hospital.

  In general, the detection methods for Mycoplasma pneumoniae include blood routine examination, blood culture, antibody testing, X-ray or chest CT scan, and throat swab testing. The details are as follows:

  1. Blood Routine Examination

  By collecting a blood sample from the patient, the white blood cell count is examined. If the total white blood cell count is normal or low, it may indicate a mycoplasma infection.

  2. Blood Culture

  The patient's blood sample is inoculated onto specific culture media to observe for mycoplasma growth. However, mycoplasma has high nutritional requirements and grows slowly. Additionally, clinical specimens often contain low levels of pathogens, resulting in a low positive rate and limited usefulness for clinical diagnosis.

  3. Antibody Testing

  Mycoplasma antibodies in the patient's body, such as IgM and IgG, are tested to determine whether an infection is present. IgM antibodies typically appear within 7 days after infection, indicating a recent infection; IgG antibodies may appear approximately 20 days after infection, indicating a past or persistent infection.

  4. X-ray or Chest CT Scan

  For patients with severe illness, X-ray or chest CT scans can be performed to observe pulmonary lesions. In cases of Mycoplasma pneumoniae infection, the lungs may show hazy, fog-like, or uniformly consistent shadows.

  5. Throat Swab Testing

  A throat swab is used to collect secretions from the pharyngeal area for testing. If mycoplasma is detected in the secretions from the throat, it may preliminarily indicate a mycoplasma infection.

  It should be noted that different detection methods each have their advantages and disadvantages. Clinically, the selection of appropriate testing methods often depends on the patient's specific condition and the testing capabilities of the hospital. Moreover, the results of Mycoplasma pneumoniae testing should be interpreted in combination with the patient's clinical symptoms, physical signs, and findings from other laboratory tests.