Korean J Pediatr Infect Dis.  1999 May;6(1):86-92. 10.14776/kjpid.1999.6.1.86.

Clinical Characteristics of Mycoplasma pneumoniae Pneumonia in Children during Recent 10 Years

Affiliations
  • 1Department of Pediatrics, Seoul Adventist Hospital, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study is to know the epidemiology and clinical characteristics in patients with M. pneumoniae pneumonia during study period retrospectively.
METHODS
We had reviewed 500 patients with Mycoplasma pneumoniae pneumonia who were hospitalized at the pediatric ward of Seoul Adventist Hospital from July 1986 through June 1996. we had analysed clinical and laboratory problems of pulmonary and extrapulmonary manifestations including demographics and epidemiological characteristics.
RESULTS
Peak occurrence of the disease was 3 years interval and seasonal occurrence of the disease had no difference. 43.4% of patients was below 4 years old and male to female ratio was nearly 1:1. The most common site of infiltration on chest PA was right lower lobe and the most common type of pneumonia was interstitial pneumonia(43%). Pulmonary complications were atelectasis(11cases), emphysema(5cases), pleural effusion(27cases) and sinusitis(13cases) and extrapulmonary manifestations were hepatitis(109cases), skin rash(29cases), proteinuria(20cases) and hematuria(16cases). cold agglutinin test was carried out in 500cases and mycoplasma antibody test was carried out in 448cases. sensitivity of mycoplasma antibody test was 53.3%.
CONCLUSION
Mycoplasma pneumoniae pneumonia showed epidemics at intervals of 3 year in its major occurrence. it exhibits a tendency that occurs at younger age group not in school age group. diagnosis of the disease need more accurate method due to low sensitivity of mycoplasma antibody test. also we need to carried out other laboratory test(for example, LFT, U/A).

Keyword

Mycoplasma pneumoniae Pneumonia

MeSH Terms

Child*
Demography
Diagnosis
Epidemiology
Female
Humans
Male
Methods
Mycoplasma pneumoniae*
Mycoplasma*
Pneumonia*
Pneumonia, Mycoplasma*
Retrospective Studies
Seasons
Seoul
Skin
Thorax
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