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A Clinical Study of Mycoplasma Pneumoniae Pneumonia.

Journal of the Korean Pediatric Society 1988;31(12):1603-1611.
Published online December 31, 1988.
A Clinical Study of Mycoplasma Pneumoniae Pneumonia.
Jeong Wi Yook1, Sun Ock Kim1, Min Shik Kim1, Hey Sun Lee1, Young Min Ahn1, Dae Young Kim2
1Department of Pediatrics, Kang Nam General Hospital Pyblic Corporation, Seoul, Korea
2Department of Radiology, Kang Nam General Hospital Pyblic Corporation, Seoul, Korea
Mycoplasma Pneumoniae 폐렴의 임상적 고찰
육정위1, 김선옥1, 김민식1, 이혜선1, 안영민1, 김대영2
1지방공사 강남병원 소아과
2지방공사 강남병원 방사선과
Received: 25 March 1988   • Accepted: 15 July 1988
Abstract
A clinical study was made on 114 cases of Mycoplasma pneumoniae pneumoniae pneumonia during the period of 3-6/12 years from April, 84 to September, 87. The results were as follows; 1) Among the 920 cases of lower respiratory tract infections, the incidence of Mycoplasma infection was 25.4%(234/920). 2) The mean age was 6.2 ±2.9 years and the male to female ratio was 1:1.1. 3) There was no significant seasonal difference, but showed slightly increased incidence from autumn to spring. 4) Cough was the most common chief complaint (111 cases, 97%), and then followed by fever (42cases, 36.8%), the cases in which duration of cough was more than 7days on initial visit were 64 cases (57.6%). Rales were the most common auscultatory finding and then followed by whezing, coarse breathing sound and normal breathing sound (30 cases, 26.3%). 5) The leukocyte counts in peripheral blood were most common in the range of 5,000-10,000/mm3, the ESR was increased in 68.6%(>20 mm/hr), and the positive CRP cases were 80.4%. 6) Mycoplasma Ab titer showed significant correlation with cold agglutinin titer. (y=0.81x -f-2.28, R=0.207680, (p<0.01) 7) The most common radiologic finding of pulmonary infiltration was segmental lnllitration (54 cases, 52.4%), and then followed by bronchopneumonia and interstitial infiltration. Normal radiologic findings were found in 28 cases (27.1%). 8) After Erythromycin treatment, cough was improved within mean 7.4 ±5.5 days, and fever was subsided within mean 4.0±1.9 days.
Key Words: Mycoplasma pneumoniae pneumonia


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