Korean J Med.
2000 Mar;58(3):324-329.
A case mycoplasma pneumoniae pneumonia with acute respiratory distress syndrome (ARDS)
- Affiliations
-
- 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Abstract
- Pneumonia caused by Mycoplasma pneumoniae is manifested as a mild and self-limited. However,
several overwhelming cases have been reported. Recently, we experienced a case of M. pneumoniae
pneumonia that progressed into ARDS in a 68-year old man who was admitted because of fever and
erythema multiforme on whole body. On admission, serum cold agglutinins and anti-mycoplasma Ab
were negative. Lobar consolidation was visible at initial chest X-ray. But, bilateral infiltration
was noted at follow-up chest X-ray and his condition was aggravated to ARDS. Anti-mycoplasma Ab was
elevated up to 1:640. He was treated with roxithromycin, prednisolone and mechanical ventilator in
ICU for 2 weeks. And after this, his clinical condition was recovered completely.