Mycoplasma pneumonia: Clinical and radiographic features in 39 children

Shu Chiang Hsieh, Yung Ting Kuo, Ming Sheng Chern, Chia Yuen Chen, Wing P. Chan, Chun Yu

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

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/mm3. 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.

Original languageEnglish
Pages (from-to)363-367
Number of pages5
JournalPediatrics International
Volume49
Issue number3
DOIs
Publication statusPublished - Jun 2007

Fingerprint

Mycoplasma Pneumonia
Thorax
Mycoplasma pneumoniae
Pleural Effusion
Leukocyte Count
Cough
C-Reactive Protein
Immunoglobulin M
Hospitalization
Fever
Immunoglobulin G
Pediatrics
Lung

Keywords

  • Children
  • Mycoplasma pneumonia
  • Pneumonia
  • Thoracic radiography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Mycoplasma pneumonia : Clinical and radiographic features in 39 children. / Hsieh, Shu Chiang; Kuo, Yung Ting; Chern, Ming Sheng; Chen, Chia Yuen; Chan, Wing P.; Yu, Chun.

In: Pediatrics International, Vol. 49, No. 3, 06.2007, p. 363-367.

Research output: Contribution to journalArticle

Hsieh, Shu Chiang ; Kuo, Yung Ting ; Chern, Ming Sheng ; Chen, Chia Yuen ; Chan, Wing P. ; Yu, Chun. / Mycoplasma pneumonia : Clinical and radiographic features in 39 children. In: Pediatrics International. 2007 ; Vol. 49, No. 3. pp. 363-367.
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