Mycoplasma pneumonia: Clinical and radiographic features in 39 children

Hsieh, Shu Chiang; Kuo, Yung Ting; Chern, Ming-Shyan; Chen, Chia Yuen; Chan, Wing P.; Yu, Chun Yen

doi:10.1111/j.1442-200x.2007.02363.x

Cited by 41 publications

(34 citation statements)

References 14 publications

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“…PPE due to M. pneumoniae has been reported in 4-20% of patients with CAP. Although PPE is generally small, unilateral and does not require chest tube insertion, it can be massive and bilateral 1,[21][22][23][24][25] . In a retrospective observational study involving 121 hospitalized children and adolescent patients with CAP/ PPE, M. pneumoniae without co-infection was detected in 34 and M. pneumoniae/S.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of complicated and uncomplicated parapneumonic effusion in children

et al. 2016

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003). Children in the empyema group had significantly more dyspnea symptoms than the children with PPE (p=0.022). Mean fever duration before hospitalization was similar in both groups. Streptococcus pneumoniae and group A streptococcus were the most common causes of empyema. All of the patients were treated with intravenous antibiotics. In addition to medical treatment, tube thoracostomy was performed in 59 of 70 (84.3%) patients in empyema group; 27 (45.8%) of them required intrapleural fibrinolysis also. In the presence of antibiotic treatment failure or in cases with moderate or large pleural effusion with loculations and clinical deterioration; it is necessary to perform drainage of the purulent fluid by tube thoracostomy, to add intrapleural fibrinolytics or to perform video-assisted thoracoscopic surgery (VATS), in order to enhance prompt recovery.

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Section: Discussionmentioning

confidence: 99%

Evaluation of complicated and uncomplicated parapneumonic effusion in children

et al. 2016

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Section: Discussionmentioning

confidence: 99%

“…In contrast, some reports showed that lobar pattern pneumonia accounts for about 33-38% [13,14], while other reports showed more localized consolidation, with most radiologic findings appearing as a lobar or segmental consolidation [15,16]. Recently published studies [8,[10][11][12][13][14] have shown an increasing lobar pneumonia pattern. This study also confirmed the lobar pneumonia pattern in about a quarter of all MP patients, also reporting on the consolidation [10][11][12][13]16] in both lower lobes as the most common location.…”

Section: Discussionmentioning

confidence: 99%

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Clinical features according to chest radiologic patterns ofMycoplasmapneumonia in children

Kim

et al. 2016

Yeungnam Univ J Med

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Background: Clinical differences in Mycoplasma pneumonia (MP) in children and adolescent patients according to abnormal infiltrate patterns on the chest X-ray were compared. Methods: From 2012 to 2015, patients (n=336) diagnosed with MP at Yeungnam University Medical Center have been classified as eiher lobar pneumonia or bronchopneumonia based on the infilterate patterns observed on chest X-ray. Cases were analyzed retrospectively for gender, age, seasonal incidence rate, main symptoms (fever duration, extrapulmonary symptoms), and laboratory results, including white blood cell count, hemoglobin, platelets, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR), as well as concurrent respiratory virus infection. Results:The following results were observed. First, lobar pneumonia affected 22.0% of all MP patients and was the most common in preschool children, with a high incidence rate in November and December. Second, lobar pneumonia had a longer fever duration than bronchopneumonia (p<0.001), and also showed significantly higher platelets (336.8 vs. 299.1 k/µL, p=0.026), ESR (46.3 vs. 26.0 mm/hr, p<0.001) and CRP (4.86 vs. 2.18 mg/dL, p=0.001). Third, viral co-infection was more common in bronchopneumonia (p=0.017), affecting 66.7% of infants and toddlers (p=0.034). Finaly, lobar consolidation was most common in both lower lobes. Conclusion: MP in children has increased in younger age groups, and the rate of lobar pneumonia with severe clinical symptoms is higher in older children.

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“…1,2 Few reports showed that it could also cause severe disease not limited to the respiratory tract but involving extra-pulmonary manifestations. 3 The most common clinical findings of these patients were cough and fever where most of them had benign course and survived. The white blood cell count was often normal.…”

Section: Introductionmentioning

confidence: 95%

Mycoplasma infection in Malaysian children: laboratory investigation and antimicrobial therapy

Sulong

Murugaan

Balakrishnan

et al. 2015

Bangladesh J Med Sci

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Background: Mycoplasma pneumonia (M. pneumoniae) is an important causative agent of childhood infection with variable clinical presentations. The objective of the study was to evaluate the laboratory investigation and antimicrobial therapy of M. pneumoniae infection in children admitted to paediatric ward. Materials & Methods: A total of 111 children, of which 59 (53.2%) boys and 52 (46.8%) girls, with median age of 2 years (inter quartile range 1-6 years) with suspected M. pneumoniae infection were tested for IgM by enzyme-linked immunosorbent assay (ELISA). The children were classified as seropositive and seronegative. Results: Of the 111 children, 45 (40.5%) had serological evidence of M. pneumoniae infection and the remaining 66 (59.5%) were seronegative. There was significant association (p < 0.001) between age and serology response. Seropositive children were more likely to be older (median age 5.0 [interquartile range 2- 7] years, p < 0.001). Children with M. pneumoniae infection were less likely to have cough (p = 0.023) in which 55 (65.5%) patients having cough were seronegative. There was no significant association between laboratory findings of full blood count and serology. Conclusion: In addition to clinical and laboratory features, other factors like age group and absence of cough might be helpful in predicting M. pneumoniae infection.DOI: http://dx.doi.org/10.3329/bjms.v14i1.21564 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.75-78

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Mycoplasma pneumonia: Clinical and radiographic features in 39 children

Abstract: There are various radiological features of mycoplasma pneumonia in children. Bilateral peribronchial and perivascular interstitial infiltrates were most frequently seen in the present patients.

Cited by 41 publications

References 14 publications

Evaluation of complicated and uncomplicated parapneumonic effusion in children

Evaluation of complicated and uncomplicated parapneumonic effusion in children

Clinical features according to chest radiologic patterns ofMycoplasmapneumonia in children

Mycoplasma infection in Malaysian children: laboratory investigation and antimicrobial therapy

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