Open AccessCorrelation between chest radiographic findings and clinical features in hospitalized children with Mycoplasma pneumoniae pneumonia
Author(s) -
Yeon Jin Cho,
Mi Seon Han,
Woo Sun Kim,
Eun Hwa Choi,
Young Hun Choi,
Ki Wook Yun,
Seung Hyun Lee,
Jung Eun Cheon,
In One Kim,
Hoan Jong Lee
Publication year - 2019
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0219463
Subject(s) - medicine , mycoplasma pneumoniae , lobar pneumonia , radiography , pleural effusion , mycoplasma pneumonia , pneumonia , radiology
Background Radiologic evaluation of children with Mycoplasma pneumoniae is important for diagnosis and management. Objective To investigate the correlation between chest radiographic findings and the clinical features in children with Mycoplasma pneumoniae pneumonia. Materials and methods This study included 393 hospitalized children diagnosed with M . pneumoniae pneumonia between January 2000 and August 2016. Their clinical features and chest radiographs were reviewed. Radiographic findings were categorized and grouped as consolidation group ( lobar or segmental consolidation ) and non-consolidation group ( patchy infiltration , localized reticulonodular infiltration , or parahilar peribronchial infiltration ). Results Lobar or segmental consolidation (37%) was the most common finding, followed by parahilar or peribronchial infiltration (27%), localized reticulonodular infiltration (21%) and patchy infiltration (15%). The consolidation group was more frequently accompanied by pleural effusions (63%), compared to the non-consolidation group (16%). Compared with patients in the non-consolidation group , those in the consolidation group were associated with a significantly higher rate of hypoxia, tachypnea, tachycardia, extrapulmonary manifestations, prolonged fever, and longer periods of anti-mycoplasma therapy and hospitalization. Lobar or segmental consolidation was significantly more frequent in children ≥5 years old (44%) compared with children 2–5 years old (34%) and <2 years old (13%). Parahilar peribronchial infiltration was significantly more frequent in children <2 years old (56%) compared with children 2–5 years old (32%) and ≥5 years old (18%). Conclusion The chest radiographic findings of children with M . pneumoniae pneumonia correlate well with the clinical features. Consolidative lesions were frequently observed in older children and were associated with more severe clinical features.