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Q: Can lung X-rays and breathing sounds be different during Mycoplasma treatment?

  • Myeongchan Kim
  • 1 day ago
  • 2 min read

Medically reviewed by Sang Hyun Ahn, MD

Content edited by Myeongchan Kim, MD


This post is a dramatization of a question and answer session experienced by our actual medical reviewers. Please note that this content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.


Question:

My child is currently being treated for an antibiotic-resistant strain of Mycoplasma. After taking the first round of antibiotics, the lung X-ray has cleared up significantly compared to before. However, the doctor mentioned that the breathing sounds are still not good. Is it possible for the lung X-ray results and the stethoscope (breathing) sounds to be different?


Answer:

Hello. It is completely understandable to be concerned when the lung X-ray and the doctor's auscultation (breathing sound) findings do not match up during Mycoplasma treatment.


Yes, a lung X-ray and breathing sounds can certainly be different because they evaluate two separate things:


The Difference Between X-rays and Breathing Sounds:

  • Lung X-ray: This imaging shows the structural changes in the lungs, such as underlying inflammation and infiltration.

  • Breathing Sounds (Auscultation): Listening with a stethoscope allows the doctor to hear the real-time state of airway secretions (mucus) and bronchial constriction.

  • Recovery Speed: It is very common for the lung X-ray to show improvement first, while breathing sounds take longer to clear up.


Characteristics of Mycoplasma Infections:

  • Bronchial inflammation caused by Mycoplasma tends to persist for a long time.

  • Even after the antibiotics have successfully eradicated the bacteria, the residual airway inflammation requires time to heal completely.

  • A lingering cough and phlegm-filled breathing sounds can easily persist for 2 to 4 weeks, or even longer.


What Your Current Situation Means:

The improvement on the lung X-ray is a highly positive sign indicating that the treatment is working effectively. The rough breathing sounds simply mean that there are still some bronchial secretions and mild inflammation clearing out of the airways.


Since you are dealing with a resistant strain, you may currently be on a second-line antibiotic treatment. Please continue administering the prescribed medication consistently, and ensure plenty of rest and hydration. The breathing sounds will gradually improve as time passes.


When to Seek Immediate Medical Evaluation:

Please revisit your pediatrician or doctor promptly if you notice any of the following:

  • A fever returns.

  • There is any difficulty breathing, wheezing, or shortness of breath.

  • The general condition or energy levels appear to worsen.


For extra peace of mind and clear guidance when tracking your child's symptoms, the FeverCoach app is always there to help.






 
 
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