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Lung abscess caused by Mycoplasma pneumoniae
Author(s) -
Omae Takashi,
Matsubayashi Tadashi
Publication year - 2015
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/ped.12644
Subject(s) - medicine , mycoplasma pneumoniae , abscess , lung abscess , azithromycin , lung , mycoplasma , productive cough , surgery , antibiotics , gastroenterology , microbiology and biotechnology , pneumonia , biology
A 10‐year‐old boy with West syndrome was referred to hospital because of high fever and cough. Chest X‐ray and computed tomography showed consolidation with an abscess in the right upper lobe. Laboratory data indicated cytokine storm. Various antibacterial agents and additional corticosteroid were unable to control the hypercytokinemia, which was suppressed after cyclosporine A was started. The lung abscess remained, however, and right upper lobectomy was performed. Culture from the abscess showed no growth, while polymerase chain reaction assay indicated Mycoplasma pneumoniae DNA. Serum passive agglutinin titer for M . pneumoniae was significantly elevated in the convalescent phase. These findings are strong evidence that the lung abscess was caused by M . pneumoniae infection.