Infectious and inflammatory diseases involve superoxide anion (O2•–) production. Real-time and non-invasive evaluation of O2•– in intact biological systems has been a significant challenge in biology and medicine. Here, I report that an advanced near-infrared chemiluminescent probe, MCLA-800, enables reliable non-invasive optical readout of O2•–ex vivo and in vivo. MCLA-800 allowed highly selective and sensitive monitoring of O2•– in undiluted human whole blood ex vivo. For the first time, the use of MCLA-800 revealed two reproducible types of O2•– production in response to stimulation by unopsonized zymosan particles of Saccharomyces cerevisiae, that is, slow response (S-type) and fast response (F-type), specific to each individual. O2•– production was synchronized with myeloperoxidase (MPO) activation in the former type but not in the latter. Moreover, as new findings, MCLA-800 chemiluminescence demonstrated that the chemiluminescence intensity–time properties of formyl-methionyl-leucyl-phenylalanine (fMLP)- or phorbol 12-myristate 13-acetate (PMA)-induced O2•– production and MPO activity were independent of S- and F-type zymosan-induced MCLA-800 chemiluminescence whole blood and that PMA-induced MPO activation synchronized with PMA-induced O2•– production in S- and F-type zymosan-induced MCLA-800 chemiluminescence whole blood, but fMLP-induced MPO activation did not synchronize with fMLP-induced O2•– production in both of S- and F-type blood. Furthermore, MCLA-800 spatiotemporally allowed non-invasive and clear in vivo imaging of O2•– in animal models of acute dermatitis and focal arthritis. Therefore, MCLA-800 could be possibly applied in various advanced diagnostic techniques.