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Published on: February 24, 2023
Mycoplasma hominis: An under recognized pathogen
Jaweed Ahmed1, Jyoti Rawre1, Neha Dhawan2
1Department of Microbiology, AIIMS, New Delhi, India.
Abstract:
Mycoplasma hominis, a commensal of the genital tract, is a potential underestimated pathogen causing both genitourinary and extragenital infections including neonatal infections. Septic arthritis, prosthetic joint infection, central nervous system (CNS) infections, infective endocarditis and abscess formation are common extragenital infections associated mainly with immunocompromised patients. Mycoplasma hominis lipoproteins play an important role in pathogenicity and directly interact with the host immune system. Polymerase chain reaction (PCR) is the mainstay of diagnosis. Increasing resistance to tetracyclines and quinolones which are used for treatment, is a matter of global concern. We reviewed PubMed literature and Google search engine on the recent developments of association of Mycoplasma hominis with various diseases, pathogenesis, diagnosis and treatment.
Insights
Mycoplasma hominis, a genital tract commensal, is an emerging pathogen causing diverse infections. Rising antibiotic resistance necessitates updated understanding of its pathogenicity, diagnosis, and treatment.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Immunology
Background:
- Mycoplasma hominis is a common commensal in the female genital tract.
- It is increasingly recognized as an opportunistic pathogen causing genitourinary and extragenital infections.
- Neonatal infections and those in immunocompromised individuals are significant concerns.
Purpose of the Study:
- To review recent developments in the association of Mycoplasma hominis with various diseases.
- To explore its pathogenesis, focusing on the role of lipoproteins.
- To summarize current diagnostic methods and treatment strategies, highlighting emerging resistance patterns.
Main Methods:
- Comprehensive literature review of PubMed and Google search engine.
- Analysis of studies on Mycoplasma hominis infections, pathogenicity, and host immune interactions.
- Evaluation of diagnostic techniques, primarily Polymerase Chain Reaction (PCR).
Main Results:
- Mycoplasma hominis causes a spectrum of infections, including neonatal, genitourinary, and extragenital diseases like septic arthritis and CNS infections.
- Pathogenicity is linked to its lipoproteins, which interact with the host immune system.
- Polymerase Chain Reaction (PCR) is the primary diagnostic tool.
- Increasing resistance to tetracyclines and quinolones is a significant global health issue.
Conclusions:
- Mycoplasma hominis is an underestimated pathogen with a growing clinical significance.
- Understanding its pathogenesis and host immune interactions is crucial for effective management.
- Addressing antimicrobial resistance is essential for optimizing treatment strategies.
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