Outbreak of acute respiratory disease caused by Mycoplasma pneumoniae on board a deployed U.S. navy ship
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Updated: Jun 19, 2026

Antigen-Capture Enzyme-Linked Immunosorbent Assay for Specific Detection of Mycoplasma pneumoniae
Published on: February 24, 2023
Joseph A Sliman1, David Metzgar, David C Asseff
1Navy Environmental and Preventive Medicine Unit 6, Pearl Harbor, Hawai, USA.
Abstract:
We identified 179 cases of acute respiratory illness including 50 cases of radiographically confirmed pneumonia over the course of 4 months on a deployed U.S. Navy vessel. Laboratory tests showed Mycoplasma pneumoniae to be the etiological agent. This report represents the first published description of a shipboard outbreak of this pathogen.
Insights
A U.S. Navy ship experienced an outbreak of acute respiratory illness caused by Mycoplasma pneumoniae. This pathogen led to 179 infections, including 50 cases of pneumonia, over four months.
Area of Science:
- Infectious Diseases
- Public Health
- Epidemiology
Background:
- Deployed military vessels present unique challenges for disease control.
- Respiratory illnesses can spread rapidly in close-quarters environments.
- Mycoplasma pneumoniae is a known cause of community-acquired pneumonia.
Purpose of the Study:
- To describe the first documented shipboard outbreak of Mycoplasma pneumoniae.
- To identify the etiological agent responsible for an acute respiratory illness outbreak on a naval vessel.
Main Methods:
- Retrospective analysis of medical records from a deployed U.S. Navy vessel.
- Identification of etiological agents through laboratory testing.
- Clinical and radiographic confirmation of pneumonia cases.
Main Results:
- 179 cases of acute respiratory illness were identified over 4 months.
- 50 cases involved radiographically confirmed pneumonia.
- Laboratory tests identified Mycoplasma pneumoniae as the causative agent.
Conclusions:
- Mycoplasma pneumoniae can cause significant outbreaks of respiratory illness in confined maritime settings.
- This outbreak highlights the importance of surveillance and control measures for respiratory pathogens on naval deployments.
- Further research into shipboard transmission dynamics of Mycoplasma pneumoniae is warranted.
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