Severe Mycoplasma pneumoniae Pneumonia

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Abstract
Cases (4) of severe M. pneumoniae infection which were treated in a single hospital over the course of 4 yr demonstrate the difficulties in the diagnosis of M. pneumoniae infections. It takes .apprx. 2-3 wk to make a diagnosis, the physician must utilize clues of limited reliability. If Gram stains and sputum culture fail to demonstrate any bacterial pathogen and the patient has a chest X-ray compatible with this diagnosis and a white blood count < 15,000/mm3, M. pneumoniae infection may be present. A good antimicrobial choice in such a situation is erythromycin.

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