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Infecção por Mycoplasma pneumoniae

Last reviewed: 23 Sep 2025
Last updated: 25 Oct 2022

Summary

Definition

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • tosse persistente
  • tosse seca
  • sintomas prolongados
  • febre
  • ruídos adventícios no exame físico
  • exposição a uma pessoa com infecção do trato respiratório
Detalhes completos

Outros fatores diagnósticos

  • comprometimento da garganta
  • erupção cutânea
  • cefaleia
  • miringite bolhosa
  • hepatite
Detalhes completos

Fatores de risco

  • cenários comunitários de contato próximo
  • exposição recente
  • tabagismo
  • idade <30 anos
  • imunossupressão
  • asplenia
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • contagem leucocitária
  • hemoglobina
  • TFHs
  • oximetria de pulso
  • ureia e eletrólitos
  • proteína C-reativa
  • radiografia torácica
Detalhes completos

Investigações a serem consideradas

  • teste de amplificação de ácido nucleico (NAAT)
  • sorologia
  • cultura±/coloração de Gram
Detalhes completos

Novos exames

  • teste de antígenos

Algoritmo de tratamento

AGUDA

com pneumonia

Colaboradores

Autores

Ran Nir-Paz, MD
Ran Nir-Paz

Professor in Medicine and Clinical Microbiology

Department of Clinical Microbiology and Infectious Diseases

Hadassah-Hebrew University Medical Center

Jerusalem

Israel

Declarações

RNP declares that he has no competing interests. RNP is an author of several references cited in this topic.

Takeshi Saraya, MD, PhD

Associate Professor

Department of Respiratory Medicine

Kyorin University School of Medicine

Tokyo

Japan

Disclosures

TS declares that he has no competing interests.

Peer reviewers

Enno Jacobs, MD

Director

Institute for Medical Microbiology and Hygiene

Dresden

Germany

Disclosures

EJ declares that he has no competing interests.

Laura J. Christie, MD

Research Scientist

Pediatric Infectious Disease

California Department of Public Health

Viral and Rickettsial Disease Laboratory

Richmond

CA

Disclosures

LC declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

British Thoracic Society. BTS guidelines for the management of community acquired pneumonia in adults: update 2009. Jan 2015 [internet publication].Full text

Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-67.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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  • Differentials

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    • Pneumonia viral
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  • Guidelines

    • Diagnosis and treatment of adults with community-acquired pneumonia
    • Pneumonia (community-acquired): antimicrobial prescribing
    More Guidelines
  • Patient information

    Pneumonia

    Pneumonia: preciso de vacina?

    More Patient information
  • Calculators

    Escore CURB-65 de gravidade de uma pneumonia.

    Índice de gravidade de pneumonia adquirida na Comunidade (PSI) para adultos

    More Calculators
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