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MYCOPLASMA
PREPARED BY: LEMMYGIUS D BALILEMWA(BSC,MSC.CLINICAL
MICROBIOLOGY) INTRODUCTION • Mycoplasma are smallest free-living bacteria that can be grown in a cell free medium. • Mycoplasma(Myco,from the fungus-like form of the branching filaments; plasma denoting their plasticity of the shape) • They cause two categories of infections • 1.Pneumonia-M.pneumoniae • 2.urogenital infections-M.genitalium • Mycoplasma may be saprophytic, parasitic or pathogenic. CHARACTERISTICS OF MYCOPLASMA • They are bacteria that are devoid of cell walls, hence highly pleormophic with no fixed shape and size. • They lack cell wall precursors like muramic acids and diaminopimelic acid. • The cells are bound by a soft triminar membrane containing sterols • They were referred to as pleuropneumoniae-like organisms (PPLO) • These organisms can pass through the filters MORPHOLOGY • They appear as granules and filaments of various size • They may be coccoid,ballon,disc,ring or star shaped forms • Filaments are slender and show branching • Multiplications is by binary fission • Mycoplasma are gram negative but are better stained by giemsa stain. CLASSIFICATION OF MYCOPLASMA Established pathogen Infections Site of colonization
M.pneumoniae Pneumonia Oropharynx
M.Homis and M.genitalium Genital infections Genital tract
ANTIGENIC PROPERTIES • The antigenic properties of mycoplasma are mainly glycolipids and proteins • Glycolipid antigens are identified by complement fixation • Protein antigens are detected by ELISA RESISTANCE • Mycoplasma are destroyed at 45 degree celcious in 15mins • They can be lysed by surface active agents and lipolytic agents such as taurocholate and digitonin • They are resistant to penicillin and cephalosporins as well as lysozymes that act on cell walls • They are sensitive to tetracyclines, erythromycin and other macrolides as well as many other antibiotics PATHOGENICITY • Pathogenic mycoplasma exhibit host specificity. • They generally produce infections by adhering to the mucosa of respiratory, gastrointestinal and genitourinary tracts. • Mycoplasma causes two types of infections • Mycoplasmal pneumonia, primary atypical pneumonia (PAP),is caused by M.pneumoniae,the disease is typically tracheobronchitis, the incubation period is 1-3 weeks. • Onset is gradual, with fever,malaise,headache and sore throat. • Paroxysmal cough may occur with blood-tinged sputum • The disease is characterized by minimum respiratory signs on physical examination but marked by radiological evidence of consolidation, which is usually patchy, involving one of the lower lobe, starting at the helium and funning out to the periphery • The disease is usually self limiting, with recovery in 1-2 weeks. • Note :Mycoplasmas tend to cause severe and prolonged infections in HIV-infected and other immunodeficient subjects. LABORATORY DIAGNOSIS. • Specimens: throat swab inoculated on sterile transport media • Culture: hay flick medium: the colonies show fried egg appearance • Molecular methods eg PCR • Serology