Pediatr Allergy Respir Dis.
2009 Jun;19(2):191-198.
A Case of Mycoplasma pneumoniae Pneumonia with a Fulminant Course in a Previously Healthy Boy
- Affiliations
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- 1Department of pediatrics, National Medical Center, Korea.
- 2Department of pediatrics, Seoul Asan Medical Center, University of Ulsan College of Medicine, Korea. sjhong@amc.seoul.kr
- 3Department of pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Korea.
Abstract
- Mycoplasma pneumoniae is a common cause of community-acquired respiratory infection in children. Through uncertain pathologic mechanisms, which most probably involve immunologically cell-mediated tissue damage, it causes life-threatening disease on rare occasion. We herein report a case of M. pneumoniae pneumonia, with encephalopathy followed by multiple organ failure in a previously healthy boy. Despite of intensive therapies with intravenous antibiotics, corticosteroid, hemodiafiltration, and transfusion, his neurologic and pulmonary sequales have remained. In most cases M. pneumoniae pneumonia are usually self- limiting with benign outcome. Even in healthy individual, however, it can manifest itself with a fulminant course and multi organ failure.
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