Microbiology · Rickettsia, Chlamydia, Mycoplasma, Spirochetes

Mycoplasma pneumoniae is innately resistant to penicillins and cephalosporins. This resistance is best explained by:

  • A Production of extended-spectrum beta-lactamases
  • B Absence of a peptidoglycan cell wall
  • C Altered DNA gyrase conferring target modification
  • D Efflux pumps expelling the antibiotic before it enters the cell
Correct answer: B. Absence of a peptidoglycan cell wall

Explanation

Beta-lactam antibiotics act by inhibiting transpeptidation enzymes that cross-link peptidoglycan in the bacterial cell wall. Mycoplasma species are the smallest free-living bacteria and completely lack a cell wall, so they have no peptidoglycan target and are intrinsically resistant to all beta-lactams. They are instead treated with macrolides, tetracyclines or fluoroquinolones that act on intracellular targets.

Reference: Ananthanarayan and Paniker's Textbook of Microbiology, 11th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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