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 Original Articles |
| Clinical Study of Mycoplasma Pneumoniae Pneumonia in Children |
| Sang Myung Huh, Jong DooSuh, Eun Sook Suh, Chin Moo Kang |
| Department of Pediatrics School of Medicine, Keimyung University, Taegu, Korea |
Vol.23 Num.3 (p181~188)
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A retrospective study of clinical features in 71 patients with M pneumoniae pneumonia who were admitted to the department of pediatrics, Keimyung university, Dong san hospital from January to December 1989 was performed.
The results were as follows.
1) The peak incidence of age was 5 to 9 years(69%), and male to female ratio was 1.2:1.2) Monthly distribution showed the highest frequency in July (33.3%).
3) The most frequent symptom was cough(95.8%) followed by fever (74.7%), sputum (49.3%) and runny nose (28.2%) in order.
4) The common physical findings on admission were rales (77.4%) and throat injection (19.7%).
5) WBC count was within normal range (5000~9999/mm3) in 57.8% and ESR was elevated in 46.5%.
6) A mycoplasma antibody titer was greater than 1:80 in all cases, and the antibody titer began to rise at 15 days and reached peak level on 17 to 23 days onset of illness.
7) Chest X-ray showed pulmonary infiltration in 97.4% of the cases which include bronchopneumonia (45.1%), lobar pneumonia (31%), and interstitial pneumonia (18.3%)
Unilateral involvement (76.1%) was more common than bilateral involvement (19.4%).
8) Compications were bronchial asthma (2 cases), atelectasis (1 case), sinusitis (2 cases), chicken pox (1 case), streptococcal sepsis (1 case) and bacteria associated hemophagocytic syndrome (1 case).
Pleural effusion was seen in 25.4% of the cases.
9) Patients were treated with erythromycin and all patients were recovered without sequalae.
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