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Disease Profile

Bacterial

Mycoplasma pneumonia

支原体肺炎

Mycoplasma pneumonia refers to pneumonia caused by *Mycoplasma pneumoniae*, a common and major causative agent of community-acquired pneumonia [1][2]. Available source text describes it as an important cause of atypical respiratory illness that may involve both the upper and lower respiratory tract and can be associated with extrapulmonary syndromes [1][2]. Refractory disease may be life-threatening, particularly in infants and the elderly, but source-backed detail on broader burden is not yet available [1].

Definition

Mycoplasma pneumonia is a bacterial respiratory infection caused by *Mycoplasma pneumoniae* and described in the sources as a common cause of pneumonia and a major agent of community-acquired pneumonia [2][1]. The organism is also linked in the literature to acute inflammation of the upper and lower respiratory tract and to extrapulmonary syndromes [1]. Source-backed detail on formal case definitions or standardized classification is not yet available [1][2].

Clinical features

The source abstracts describe a syndrome of primary atypical pneumonia with cough, fever, chills, headache, and malaise, together with segmental or subsegmental pulmonary infiltrates and a white blood cell count that is normal or only slightly elevated [2]. A second presentation is noted in which lethargy, dyspnea, and 1 to 4 weeks of shortness of breath may occur without cough or fever, with diffuse reticulonodular or interstitial infiltrates [2]. The illness is usually benign and self-limiting in previously healthy hosts, but refractory pneumonia can be life-threatening [2][1]. Serious disease is reported in infants, older adults, and patients with other underlying diseases or immunodeficiency states [1][2].

Epidemiology

The available sources characterize *M. pneumoniae* as a common cause of pneumonia and a major agent of community-acquired disease, but they do not provide population incidence or seasonal distribution [2][1]. Macrolide-resistant *M. pneumoniae* has emerged in Asia, indicating documented regional antimicrobial-resistance concern in the literature [3]. The 2014 review notes that epidemiologic knowledge of atypical pathogens remains limited, and that wider molecular testing may improve understanding of their epidemiology and presentation [3]. Source-backed detail on outbreak setting, reservoir, or surveillance burden is not yet available [1][3].

Transmission

The supplied sources do not provide a direct description of transmission route or exposure mechanism for *Mycoplasma pneumoniae* [1][2][3]. They do identify the organism as a respiratory pathogen associated with community-acquired pneumonia, which supports a respiratory disease context but not a specific transmission statement [1][2]. Source-backed detail on persistence, contagion period, or environmental transmission is not yet available [1][3].

Risk groups

The sources specifically identify infants and the elderly as groups in whom refractory pneumonia may be life-threatening [1]. They also report that disease can be very serious in patients with other conditions including sickle cell anemia, sarcoidosis, systemic lupus erythematosus, Hodgkin's disease, and various immunodeficiency states [2]. Source-backed detail on other high-risk groups is not yet available [1][2].

Prevention

The source material emphasizes prevention through vaccine development, stating that an effective vaccine is urgently needed to prevent *M. pneumoniae* infections in children [1]. It also notes that several vaccine types have been reported, including whole-cell, subunit, and DNA vaccines, though no schedule or implementation details are provided [1]. No additional source-backed public-health prevention measures are described in the supplied snippets [1][3].

Surveillance note

In surveillance terms, this disease is best read as a community-acquired atypical pneumonia syndrome with a broad clinical spectrum, including cases with extrapulmonary features and refractory pneumonia [1][2]. The literature also highlights diagnostic and epidemiologic uncertainty, including carriage-versus-infection challenges and the expanding use of molecular testing in respiratory specimens [3]. Source-backed detail on routine notification criteria, thresholds, or standardized weekly surveillance interpretation is not yet available [1][3].

References
  1. 1 Jiang Z et al. Mycoplasma pneumoniae Infections: Pathogenesis and Vaccine Development. Pathogens. 2021 Jan 25. PMID: 33503845. doi: 10.3390/pathogens10020119. PubMed: https://pubmed.ncbi.nlm.nih.gov/33503845/
  2. 2 Jensen PS et al. Mycoplasma pneumonia. CRC Crit Rev Diagn Imaging. 1980. PMID: 6767579. PubMed: https://pubmed.ncbi.nlm.nih.gov/6767579/
  3. 3 Basarab M et al. Atypical pneumonia. Curr Opin Pulm Med. 2014 May. PMID: 24626238. doi: 10.1097/MCP.0000000000000048. PubMed: https://pubmed.ncbi.nlm.nih.gov/24626238/
  4. 4 Mycoplasma pneumonia. Radiopaedia.org. 2013. doi: 10.53347/rid-25082. DOI: https://doi.org/10.53347/rid-25082
  5. 5 Mycoplasma Pneumonia. Radiology of Infectious and Inflammatory Diseases - Volume 3. 2023. doi: 10.1007/978-981-99-4614-3_9. DOI: https://doi.org/10.1007/978-981-99-4614-3_9
  6. 6 Mycoplasma Pneumonia. New England Journal of Medicine. 1971. doi: 10.1056/nejm197110142851618. DOI: https://doi.org/10.1056/nejm197110142851618
Coding Register
ICD-10
ICD-11
Key Statistics
Total cases
125K
Peak month
2024-11
Coverage
1 reporting countries · 2012-09-15 → 2026-06-20

Figure 1 | Full historical trajectories across all reporting countries.

Figure 2 | Year-over-year monthly comparison for seasonality and structural shifts.

Dataset Archive

Supplementary Data | Multi-country disease dataset

Machine-readable multi-country disease dataset (JSON/CSV) with source metadata.

Rows
717
Data Version
2026-06-20
Coverage
Included metadata
Source links, scope, cadence

Source Register

Official sources and update cadences used to construct the downloadable dataset.

JP
JP NIID Weeklyweeklyweb

Japan

Japan weekly infectious disease surveillance via NIID/JIHS.

Official source
Suggested presentation pattern: cite the data version and coverage window when exporting charts or tables for publication.