Severe necrotizing pneumonitis in a child with Mycoplasma pneumoniae infection

Abstract

Summary.Lower respiratory tract illness due to Mycoplasma pneumoniae is typically mild and self-limited. There are, however, numerous reports of serious and life-threatening cases of mycoplasma pneumonia in adults. We present a case involving a 4-year-old girl with severe mycoplasma infection and necrotizing pneumonitis requiring lobectomy. A detailed pathological report is provided. Pediatr. Pulmonol. 1997; 24:61-65.

Mycoplasma pneumoniae‐associated necrotizing pneumonitis in children

“…Finally, in cases involving recurrent fever and inflammatory reaction, pulmonary lobectomy should be considered. 1,6 In conclusion, although the clinical course of the present five patients was longer than the common infection of M. pneumoniae, each patient finally recovered without the negative conse- quences that have been seen in other patients. This suggests that the prognosis of necrotizing pneumonitis may not be so uniformly unfavorable as previously reported.…”

Necrotising pneumonitis in children

“…The reason why S. pneumoniae infections cause the increasing incidence of NP remains unexplained at the present time. Infections with M. pneumoniae are common in childhood pneumonia, but NP is a rare complication [23]. We encountered two patients with mycoplasmal pneumonia who had NP in this study but required erythromycin treatment for 10± 14 days only.…”

Lung abscess in a child with Mycoplasma pneumoniae infection

“…Conservative pharmacological treatment with macrolide allowed complete recovery in all cases although for all patients initiation of macrolide therapy was delayed. It is noteworthy that one case of severe necrotizing pneumonia due to M. pneumoniae requiring lobectomy has been reported in a child [7].…”