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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1994 Apr;32(4):1101–1103. doi: 10.1128/jcm.32.4.1101-1103.1994

Antibiotic susceptibilities of AIDS-associated mycoplasmas.

S A Poulin 1, R E Perkins 1, R B Kundsin 1
PMCID: PMC267196  PMID: 8027322

Abstract

Because mycoplasmas may be a cofactor in the progression of human immunodeficiency virus infection to AIDS, their susceptibilities to antibiotics need to be known in the event that appropriate therapy is required. The mycoplasmas studied were a stock culture strain of Mycoplasma fermentans, two strains of M. fermentans isolated from patients with AIDS, M. fermentans var. incognitus, Mycoplasma penetrans, and Mycoplasma pirum. The antibiotics tested were doxycycline, tetracycline, clindamycin, ofloxacin, erythromycin, azithromycin, and clarithromycin at levels consistent with the attainable levels in serum. By the macrodilution metabolic inhibition method, all six mycoplasma strains were susceptible to doxycycline, tetracycline, clindamycin, ofloxacin, azithromycin, and clarithromycin. M. penetrans was susceptible to erythromycin. The M. fermentans strains and M. pirum were resistant to erythromycin. The macrodilution metabolic inhibition method results showed agreement with the Sensititre Gram Positive MIC Panel results for tetracycline, clindamycin, and erythromycin. MICs of clarithromycin for all six mycoplasma isolates tested were low, indicating susceptibility.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Balter M. Montagnier pursues the mycoplasma-AIDS link. Science. 1991 Jan 18;251(4991):271–271. doi: 10.1126/science.1670968. [DOI] [PubMed] [Google Scholar]
  2. Bauer F. A., Wear D. J., Angritt P., Lo S. C. Mycoplasma fermentans (incognitus strain) infection in the kidneys of patients with acquired immunodeficiency syndrome and associated nephropathy: a light microscopic, immunohistochemical, and ultrastructural study. Hum Pathol. 1991 Jan;22(1):63–69. doi: 10.1016/0046-8177(91)90063-u. [DOI] [PubMed] [Google Scholar]
  3. Behbahani N., Blanchard A., Cassell G. H., Montagnier L. Phylogenetic analysis of Mycoplasma penetrans, isolated from HIV-infected patients. FEMS Microbiol Lett. 1993 May 1;109(1):63–66. doi: 10.1111/j.1574-6968.1993.tb06144.x. [DOI] [PubMed] [Google Scholar]
  4. Dawson M. S., Hayes M. M., Wang R. Y., Armstrong D., Kundsin R. B., Lo S. C. Detection and isolation of Mycoplasma fermentans from urine of human immunodeficiency virus type 1-infected patients. Arch Pathol Lab Med. 1993 May;117(5):511–514. [PubMed] [Google Scholar]
  5. Gallily R., Salman M., Tarshis M., Rottem S. Mycoplasma fermentans (incognitus strain) induces TNF alpha and IL-1 production by human monocytes and murine macrophages. Immunol Lett. 1992 Sep;34(1):27–30. doi: 10.1016/0165-2478(92)90023-h. [DOI] [PubMed] [Google Scholar]
  6. Gougeon M. L., Montagnier L. Apoptosis in AIDS. Science. 1993 May 28;260(5112):1269–1270. doi: 10.1126/science.8098552. [DOI] [PubMed] [Google Scholar]
  7. Grau O., Kovacic R., Griffais R., Montagnier L. Development of a selective and sensitive polymerase chain reaction assay for the detection of Mycoplasma pirum. FEMS Microbiol Lett. 1993 Feb 1;106(3):327–333. doi: 10.1111/j.1574-6968.1993.tb05984.x. [DOI] [PubMed] [Google Scholar]
  8. Hawkins R. E., Rickman L. S., Vermund S. H., Carl M. Association of mycoplasma and human immunodeficiency virus infection: detection of amplified Mycoplasma fermentans DNA in blood. J Infect Dis. 1992 Mar;165(3):581–585. doi: 10.1093/infdis/165.3.581. [DOI] [PubMed] [Google Scholar]
  9. Hayes M. M., Foo H. H., Kotani H., Wear D. J., Lo S. C. In vitro antibiotic susceptibility testing of different strains of Mycoplasma fermentans isolated from a variety of sources. Antimicrob Agents Chemother. 1993 Nov;37(11):2500–2503. doi: 10.1128/aac.37.11.2500. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hayes M. M., Wear D. J., Lo S. C. In vitro antimicrobial susceptibility testing for the newly identified AIDS-associated Mycoplasma. Mycoplasma fermentans (incognitus strain). Arch Pathol Lab Med. 1991 May;115(5):464–466. [PubMed] [Google Scholar]
  11. Lo S. C., Dawson M. S., Wong D. M., Newton P. B., 3rd, Sonoda M. A., Engler W. F., Wang R. Y., Shih J. W., Alter H. J., Wear D. J. Identification of Mycoplasma incognitus infection in patients with AIDS: an immunohistochemical, in situ hybridization and ultrastructural study. Am J Trop Med Hyg. 1989 Nov;41(5):601–616. doi: 10.4269/ajtmh.1989.41.601. [DOI] [PubMed] [Google Scholar]
  12. Lo S. C., Hayes M. M., Tully J. G., Wang R. Y., Kotani H., Pierce P. F., Rose D. L., Shih J. W. Mycoplasma penetrans sp. nov., from the urogenital tract of patients with AIDS. Int J Syst Bacteriol. 1992 Jul;42(3):357–364. doi: 10.1099/00207713-42-3-357. [DOI] [PubMed] [Google Scholar]
  13. Lo S. C., Hayes M. M., Wang R. Y., Pierce P. F., Kotani H., Shih J. W. Newly discovered mycoplasma isolated from patients infected with HIV. Lancet. 1991 Dec 7;338(8780):1415–1418. doi: 10.1016/0140-6736(91)92721-d. [DOI] [PubMed] [Google Scholar]
  14. Lo S. C., Shih J. W., Newton P. B., 3rd, Wong D. M., Hayes M. M., Benish J. R., Wear D. J., Wang R. Y. Virus-like infectious agent (VLIA) is a novel pathogenic mycoplasma: Mycoplasma incognitus. Am J Trop Med Hyg. 1989 Nov;41(5):586–600. doi: 10.4269/ajtmh.1989.41.586. [DOI] [PubMed] [Google Scholar]
  15. Lo S. C., Shih J. W., Yang N. Y., Ou C. Y., Wang R. Y. A novel virus-like infectious agent in patients with AIDS. Am J Trop Med Hyg. 1989 Feb;40(2):213–226. doi: 10.4269/ajtmh.1989.40.213. [DOI] [PubMed] [Google Scholar]
  16. Lo S. C., Tsai S., Benish J. R., Shih J. W., Wear D. J., Wong D. M. Enhancement of HIV-1 cytocidal effects in CD4+ lymphocytes by the AIDS-associated mycoplasma. Science. 1991 Mar 1;251(4997):1074–1076. doi: 10.1126/science.1705362. [DOI] [PubMed] [Google Scholar]
  17. Renaudin H., Bebear C. Activité in vitro de la sparfloxacine sur les mycoplasmes. Pathol Biol (Paris) 1992 May;40(5):450–454. [PubMed] [Google Scholar]
  18. Spaepen M. S., Kundsin R. B. Simple, direct broth-disk method for antibiotic susceptibility testing of Ureaplasma urealyticum. Antimicrob Agents Chemother. 1977 Feb;11(2):267–270. doi: 10.1128/aac.11.2.267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Tanner A. C., Wu C. C. Adaptation of the Sensititre broth microdilution technique to antimicrobial susceptibility testing of Mycoplasma gallisepticum. Avian Dis. 1992 Jul-Sep;36(3):714–717. [PubMed] [Google Scholar]
  20. Wang R. Y., Hu W. S., Dawson M. S., Shih J. W., Lo S. C. Selective detection of Mycoplasma fermentans by polymerase chain reaction and by using a nucleotide sequence within the insertion sequence-like element. J Clin Microbiol. 1992 Jan;30(1):245–248. doi: 10.1128/jcm.30.1.245-248.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Wang R. Y., Shih J. W., Grandinetti T., Pierce P. F., Hayes M. M., Wear D. J., Alter H. J., Lo S. C. High frequency of antibodies to Mycoplasma penetrans in HIV-infected patients. Lancet. 1992 Nov 28;340(8831):1312–1316. doi: 10.1016/0140-6736(92)92493-y. [DOI] [PubMed] [Google Scholar]

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