Clinical Characteristics of Children with Lobar Pneumonia Caused by Mycoplasma pneumoniae / 소아알레르기및호흡기학회지
Pediatric Allergy and Respiratory Disease
; : 256-264, 2012.
Article
em Ko
| WPRIM
| ID: wpr-189575
Biblioteca responsável:
WPRO
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.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Derrame Pleural
/
Pneumonia
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Pneumonia por Mycoplasma
/
Precursores de Proteínas
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Tórax
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Proteína C-Reativa
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Calcitonina
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Prontuários Médicos
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Prevalência
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Temperatura Baixa
Tipo de estudo:
Prevalence_studies
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Prognostic_studies
Limite:
Child
/
Humans
Idioma:
Ko
Revista:
Pediatric Allergy and Respiratory Disease
Ano de publicação:
2012
Tipo de documento:
Article