What does MP-IgM negative mean?

Dec 03, 2025 Source: Cainiu Health
Dr. Ren Yi
Introduction
If the individual being tested already shows clear respiratory symptoms such as persistent dry cough, low-grade fever, chest tightness, etc., but MP-IgM is still negative, it may be due to a short duration of infection (antibody levels typically rise 7–10 days after infection) and the antibody concentration has not yet reached detectable levels. In such cases, infection cannot be completely ruled out. The test should be repeated after 1–2 weeks, and the results should be interpreted in combination with clinical symptoms.

Generally, a negative MP-IgM result usually indicates no current Mycoplasma pneumoniae infection or that the individual is in the early stage of infection before antibodies have developed. Clinical symptoms should be considered for accurate interpretation. If in doubt, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

If the tested individual has no respiratory symptoms such as fever, cough, or fatigue, and daily activities remain normal, a negative MP-IgM result typically suggests no Mycoplasma pneumoniae infection. The human body produces MP-IgM antibodies after infection with Mycoplasma pneumoniae; a negative result indicates these antibodies are not yet present, and no specific treatment for this infection is required.

If the individual already shows clear respiratory symptoms such as persistent dry cough, low-grade fever, or chest tightness, but the MP-IgM test remains negative, it may be due to a short infection duration (antibody levels typically rise 7–10 days after infection), meaning antibody levels have not yet reached detectable levels. In such cases, infection cannot be completely ruled out. Re-testing after 1–2 weeks is recommended, and diagnosis should be based on both follow-up test results and clinical symptoms.

After receiving a negative MP-IgM result, individuals should discuss their symptoms with a healthcare provider. Those with respiratory symptoms should undergo retesting as advised by their doctor. During this period, adequate rest is important, avoid crowded places, and seek timely medical care to adjust the treatment plan if symptoms worsen.