Premium
Mycoplasma pneumonia: Clinical and radiographic features in 39 children
Author(s) -
HSIEH SHUCHIANG,
KUO YUNGTING,
CHERN MINGSHENG,
CHEN CHIAYUEN,
CHAN WING P.,
YU CHUN
Publication year - 2007
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.2007.02363.x
Subject(s) - medicine , mycoplasma pneumonia , mycoplasma pneumoniae , pneumonia , radiography , pleural effusion , mycoplasma , lung , radiological weapon , pathology , gastroenterology , radiology , genetics , biology
Background: The purpose of the present paper was to evaluate the clinical and chest radiographic features of pediatric patients with serologically proven Mycoplasma pneumoniae pneumonia (mycoplasma pneumonia). Methods: The clinical records and chest radiographs of 39 consecutive patients (19 male, 20 female; age 3–13 years) with serologically positive IgG and IgM mycoplasma pneumonia were reviewed. Results: More than 90% of patients presented with fever and cough and 48% of patients had leukocyte count >10 000/mm 3 . A C‐reactive protein (CRP) level >0.375 mg/dL was noted in 28 patients (72%). Chest radiographs displayed four different patterns: (i) peribronchial and perivascular interstitial infiltrates ( n = 19, 49%); (ii) airspace consolidations ( n = 15, 38%); (iii) reticulonodular opacification ( n = 3, 8%); and (iv) nodular or mass‐like opacification ( n = 2, 5%). Bilateral peribronchial perivascular interstitial infiltrations in central and middle lung zones were frequently seen ( n = 19, 49%). Other radiological features were bilateral lesions in 51% of patients, pleural effusion in 23%, and hilar lymphadenopathy in 13%. Means of duration for treatment response and hospitalization were 2.5 and 5 days, respectively. Conclusion: There are various radiological features of mycoplasma pneumonia in children. Bilateral peribronchial and perivascular interstitial infiltrates were most frequently seen in the present patients.