Clinical Characteristics of Children with Lobar Pneumonia Caused by Mycoplasma pneumoniae / 소아알레르기및호흡기학회지
Pediatric Allergy and Respiratory Disease
;
: 256-264, 2012.
Article
in Korean
| WPRIM
| ID: wpr-189575
ABSTRACT
PURPOSE:
This study was conducted to evaluate the prevalence, clinical characteristics and laboratory findings of lobar pneumonia in children caused by Mycoplasma pneumonia and to find a diagnostic tool for identifying M. pneumoniae infection in children.METHODS:
We analyzed medical records of 78 children between March 2010 and December 2011, who were admitted to our hospital and diagnosed with lobar pneumonia on the basis of chest X-rays. White blood cells (WBC), C-reactive protein (CRP), procalcitonin (PCT), specific antibodies to M. pneuomoniae, and cold agglutinin (CA) were measured at the time of admission. Children were divided into 2 groups those with M. pneuomoniae infection (group A) and those without infection (group B). Group A children were also subdivided into 2 categories those with increased CA (group 1) and those without (group 2).RESULTS:
The prevalence of lobar pneumonia was higher in the year 2011 than in 2010. M. pneuomoniae infection usually occurs in summer and autumn. Group A children accounted for 75.6% (59/78) of all the cases. The onset ages was higher in group A than in group B (P=0.016). WBC counts and PCT values were higher in group B than in group A.(P=0.015 and P=0.011, respectively) Radiologic findings showed that the lower lobe was most commonly involved without predilection for either side and pleural effusion was present in 13.6% of all the cases. The duration of fever before admission was longer in group 1 than in group 2.(P=0.019)CONCLUSION:
It is concluded that lobar pneumonia caused by M. pneuomoniae can be more accurately diagnosed using serum PCT values than using CRP values.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pleural Effusion
/
Pneumonia
/
Pneumonia, Mycoplasma
/
Protein Precursors
/
Thorax
/
C-Reactive Protein
/
Calcitonin
/
Medical Records
/
Prevalence
/
Cold Temperature
Type of study:
Prevalence study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Pediatric Allergy and Respiratory Disease
Year:
2012
Type:
Article
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