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 |
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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.
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Key Words:
Mycoplasma pneumoniae pneumonia |
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