Is a positive Mycoplasma pneumoniae IgM test in children serious?

Mar 12, 2025 Source: Cainiu Health
Disease description:

The child went to the hospital for examination, and the result showed positive for Mycoplasma pneumoniae IgM. I don't really understand this, so I just want to ask if this condition is serious? Could there be any major problems?

Doctor's answer (1)
Dr. Zhou Xiaofeng

Whether a positive IgM test for Mycoplasma pneumoniae in children is serious depends on the specific circumstances. If the symptoms are mild, the condition is usually not serious. However, if the symptoms are severe or complications arise, the condition can be serious.

In most children, Mycoplasma pneumoniae infection presents as a mild to moderate upper respiratory tract infection, such as low-grade fever and dry cough, with no obvious signs of pneumonia, suggesting a relatively mild illness. In such cases, timely and effective treatment can usually control the condition effectively, and the prognosis is generally good.

However, if a child develops persistent high fever, severe cough, difficulty breathing, or complications such as pleural effusion or atelectasis, the illness may be more severe. In these situations, immediate medical attention is necessary, and active treatment under a doctor's guidance is required to prevent further deterioration.

In addition, Mycoplasma pneumoniae infection is contagious to some extent. Therefore, during treatment, isolation measures should be taken to prevent cross-infection. At the same time, ensuring adequate rest and increased fluid intake can help promote recovery.