American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2017, 5(1), 15-21
DOI: 10.12691/ajmcr-5-1-5
Open AccessCase Report

Mycoplasma Pneumoniae, an Important Differential Diagnosis of Non-Responding Pneumonia

Chaozer Er1,

1Department of General Medicine, Tan Tock Seng Hospital, Singapore

Pub. Date: February 11, 2017

Cite this paper:
Chaozer Er. Mycoplasma Pneumoniae, an Important Differential Diagnosis of Non-Responding Pneumonia. American Journal of Medical Case Reports. 2017; 5(1):15-21. doi: 10.12691/ajmcr-5-1-5


A 24-year-old Chinese lady presented with 2 weeks of fever and 1 week of cough to us after being given antibiotic by the primary care physician. Chest-X-ray showed left sided pneumonia. She undergone computed tomography of chest and bronchoscopy to investigate the non-responding pneumonia. The final diagnosis of Mycoplasma pneumoniae pneumonia (MPP) was made after the serology result turned out to be positive. Despite having being given 11 days of macrolide, she failed to achieve clinical stability till day 13 of her admission. This case demonstrated the atypical features of MPP and the importance to consider MPP as one of the differentials of non-responding pneumonia.

non-responding pneumonia mycoplasma pneumoniae macrolide resistance

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