Yeungnam Univ J Med Search

CLOSE


Yeungnam Univ J Med > Volume 33(2); 2016 > Article
Yeungnam University Journal of Medicine 2016;33(2):98-104.
DOI: https://doi.org/10.12701/yujm.2016.33.2.98    Published online December 31, 2016.
Clinical features according to chest radiologic patterns of Mycoplasma pneumonia in children.
Young Hyun Kim, Jin Hyeon Kim, Sae Yoon Kim, Young Hwan Lee
Department of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea. yhlee3535@ynu.ac.kr
Abstract
BACKGROUND: Clinical differences in Mycoplasma pneumonia (MP) in children and adolescent patients according to abnormal infiltrate patterns on the chest X-ray were compared. METHODS: From 2012 to 2015, patients (n=336) diagnosed with MP at Yeungnam University Medical Center have been classified as eiher lobar pneumonia or bronchopneumonia based on the infilterate patterns observed on chest X-ray. Cases were analyzed retrospectively for gender, age, seasonal incidence rate, main symptoms (fever duration, extrapulmonary symptoms), and laboratory results, including white blood cell count, hemoglobin, platelets, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR), as well as concurrent respiratory virus infection. RESULTS: The following results were observed. First, lobar pneumonia affected 22.0% of all MP patients and was the most common in preschool children, with a high incidence rate in November and December. Second, lobar pneumonia had a longer fever duration than bronchopneumonia (p<0.001), and also showed significantly higher platelets (336.8 vs. 299.1 k/µL, p=0.026), ESR(46.3 vs. 26.0mm/hr, p<0.001) and CRP (4.86 vs. 2.18mg/dL, p=0.001). Third, viral co-infection was more common in bronchopneumonia (p=0.017), affecting 66.7% of infants and toddlers (p=0.034). Finaly, lobar consolidation was most common in both lower lobes. CONCLUSION: MP in children has increased in younger age groups, and the rate of lobar pneumonia with severe clinical symptoms is higher in older children.
Key Words: Clinical features, Lobar consolidation, Mycoplasma pneumonia, Children


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea
Tel: +82-53-640-6832    Fax: +82-53-651-0394    E-mail: yujm@yu.ac.kr                

Copyright © 2021 by Yeungnam University College of Medicine.

Developed in M2PI

Close layer
prev next