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A 7-year-old girl with subcutaneous emphysema, pneumomediastinum, pneumothorax, and pneumoretroperitoneum caused by Mycoplasma pneumoniae pneumonia.
- Source :
-
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy [J Infect Chemother] 2012 Apr; Vol. 18 (2), pp. 247-50. Date of Electronic Publication: 2011 Sep 07. - Publication Year :
- 2012
-
Abstract
- A 7-year-old girl presented with subcutaneous emphysema, pneumomediastinum (PM), pneumoretroperitoneum, and pneumothorax caused by Mycoplasma pneumoniae (MP). The patient had been treated with clarithromycin for pneumonia at another hospital; however, her condition deteriorated and complications developed. Soon after admission to our hospital, we started the patient on minocycline and prednisolone, and the complications improved promptly. Laboratory data showed serum ferritin and urinary beta-2-microglobulin levels were greatly elevated. We therefore speculated that the patient might have underlying hypercytokinemia. Prednisolone is an effective treatment for hypercytokinemia. We therefore recommend prednisolone treatment for cases of severe M. pneumoniae pneumonia that do not respond to antimicrobial agents.
- Subjects :
- Child
Female
Humans
Mediastinal Emphysema diagnostic imaging
Mediastinal Emphysema pathology
Mycoplasma pneumoniae
Pneumonia, Mycoplasma diagnostic imaging
Pneumonia, Mycoplasma microbiology
Pneumothorax diagnostic imaging
Radiography
Retropneumoperitoneum diagnostic imaging
Mediastinal Emphysema etiology
Pneumonia, Mycoplasma complications
Pneumothorax etiology
Retropneumoperitoneum etiology
Subcutaneous Emphysema diagnostic imaging
Subcutaneous Emphysema etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1437-7780
- Volume :
- 18
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 21901497
- Full Text :
- https://doi.org/10.1007/s10156-011-0301-7