What should I do if I have a fever caused by a mycoplasma infection?

Written by Li Jian Wu
Pulmonology
Updated on January 26, 2025
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Fever symptoms caused by mycoplasma infection require corresponding treatment measures based on the degree of fever. First, it is advised to drink plenty of water and rest. If the body temperature is above 37 degrees Celsius but below 38 degrees, this is considered a mild fever. You can wipe areas such as the palms, soles, neck, and chest with warm water or approximately 30% alcohol; however, alcohol should not be used for children. If the body temperature exceeds 38 degrees Celsius, fever-reducing medications such as ibuprofen or acetaminophen can be taken. The main principle is to treat the mycoplasma infection. (Medication should be used under the guidance of a doctor.)

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Is mycoplasma infection contagious?

After Mycoplasma infects the human body, it can cause pneumonia, mycoplasmal pneumonia, and infections of the urogenital system. Is Mycoplasma infection contagious? Yes, it is contagious. For instance, pneumonia often spreads via the respiratory tract. Patients spread bacteria-laden droplets into the air by coughing or sneezing, which are then inhaled by healthy individuals. Infections of the urogenital system are primarily transmitted through sexual contact, that is, through sexual intercourse. Moreover, if a woman has a urogenital system infection, it can even be transmitted to the newborn during childbirth.

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Symptoms of Mycoplasma Infection in Children

The symptoms of mycoplasma infection in children primarily include respiratory infections, with common symptoms being cough and fever. Additionally, mycoplasma can cause wheezing and shortness of breath. Generally, mycoplasma can lead to pharyngitis, bronchitis, and pneumonia. In cases of pneumonia caused by mycoplasma, it can affect the bronchial mucosa and the pulmonary interstitial. It can also cause pulmonary consolidation. The main treatment for mycoplasma pneumonia is the use of macrolide antibiotics to treat the infection, followed by symptomatic treatment, expectorants, and cough suppressants.

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Does mycoplasma infection cause coughing?

In clinical practice, Mycoplasma infection is relatively common. After Mycoplasma pneumoniae infects the human body, it often causes bronchitis and pneumonia. Common symptoms include fever and cough. Therefore, Mycoplasma infection does cause coughing, and the cough symptoms are often quite severe, presenting as an irritating cough. The cough often persists for a relatively long time, possibly lasting three to four weeks. Therefore, coughing does occur with Mycoplasma infection, and it is important to actively cooperate with the doctor in medication treatment to control the cough symptoms.

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Is a weakly positive mycoplasma infection serious?

To determine whether a medical condition is severe, one cannot rely solely on a single test but must consider clinical symptoms and other diagnostic results comprehensively. For instance, Mycoplasma infection can lead to pneumonia, known as Mycoplasma pneumonia. If there is severe fever, especially persistent high fever, the condition is likely more serious. Furthermore, if there are extrapulmonary manifestations, such as dermatitis, pleural effusion, or otitis media, the situation is also relatively severe. Additionally, if lung imaging shows extensive or numerous shadows, it indicates a more serious condition.

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How to treat cough caused by mycoplasma infection?

Mycoplasma infection cough is mainly characterized by irritating dry cough with generally little phlegm, and it can be accompanied by fever, headache, and general discomfort. The treatment for mycoplasma infection cough involves symptomatic cough suppression and the use of antibiotics that are effective against mycoplasma. For cough treatment, if there is significant wheezing, theophylline or salbutamol can be used. Additionally, if there is a concurrent infection with increased sputum production, ambroxol can be used for expectoration, along with a macrolide antibiotic sensitive to mycoplasma, such as erythromycin, azithromycin, or clarithromycin, for antibacterial treatment.