Tuberc Respir Dis.  2007 Dec;63(6):511-514.

A Case of Mycoplasma Pneumonia Presenting with RUL Collapse

• Cho BH
• Choi HS
• Cho CH
• Kim YH
• Choi CW
• Park MJ
• Yoo JH
• Kang HM

Abstract

Mycoplasma pneumoniae is a common pathogen of community-acquired pneumonia. Mycoplasma pneumonia causes upper and lower respiratory tract symptoms in all age groups, with the highest attack rates in subjects 5 to 20 years old. In patients with mycoplasma pneumonia, the most common radiographic findings may be reticulonodular or interstitial infiltration, which have a predilection for the lower lobes. Findings that show lung collapse on a chest X-ray are very rare. We report a case of mycoplasma pneumonia that showed right upper lobe collapse.

Keyword

Mycoplasma; Pneumonia; Collapse

MeSH Terms

Humans
Mycoplasma pneumoniae
Mycoplasma*
Pneumonia
Pneumonia, Mycoplasma*
Pulmonary Atelectasis
Respiratory System
Thorax
Young Adult

Figure

• 

  Figure 1 Chest PA shows total collapse of right upper lobe.

• 

  Figure 2 Chest CT shows total collapse of right upper lobe.

• 

  Figure 3 Bronchoscopy shows the hyperemic mucosal swelling at right upper lobe bronchus.

• 

  Figure 4 Right upper lobe collapse is completely improved on the 5th hospital day.

Reference

1. Bartlett JG, Mundy LM. Community-acquired pneumonia. N Engl J Med. 1995. 333:1618–1624.

2. Hammerschlag MR. Mycoplasma pneumoniae infections. Curr Opin Infect Dis. 2001. 14:181–186.

3. Clyde WA Jr. Clinical overview of typical Mycoplasma pneumoniae infections. Clin Infect Dis. 1993. 17:S32–S36.

4. Niitu YM. Pneumoniae respiratory diseases: clinical features--children. Yale J Biol Med. 1983. 56:493–503.

5. Murray JF, Nadel JA. Caroline CJ, Sydney MF, editors. Chap 34. Pyogenic bacterial pneumonia, lung abscess and empyema. Textbook of respiratory medicine. 1994. 2th ed. Philadelphia: W.B. Sanders Company;1074–1075.

6. Bruns AH, Oosterheert JJ, Prokop M, Lammers JW, Hak E, Hoepelman AI. Patterns of resolution of chest radiograph abnormalities in adults hospitalized with severe community-acquired pneumonia. Clin Infect Dis. 2007. 45:983–991.

7. Reimann HA. Atypical pneumonia in old age. Geriatrics. 1968. 23:173–182.

8. Meiklejohn G, Beck MD, Eaton MD. Atypical pneumonia caused by Psittacosis-like viruses. J Clin Invest. 1944. 23:167–175.

9. Chanock RM, Hayflick L, Barile MF. Growth on artificial medium of an agent associated with atypical pneumonia and its identification as a PPLO. Proc Natl Acad Sci USA. 1962. 48:41–49.

10. Busolo F, Tonin E, Meloni GA. Enzyme-linked immunosorbent assay for serodiagnosis of Mycoplasma pneumoniae infections. J Clin Microbiol. 1983. 18:432–435.

11. Daxboeck F, Krause R, Wenisch C. Laboratory diagnosis of Mycoplasma pneumoniae infection. Clin Microbiol Infect. 2003. 9:263–273.

12. Cunha BA. The atypical pneumonias: clinical diagnosis and importance. Clin Microbiol Infect. 2006. 12:Suppl 3. 12–24.

13. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious Diseases society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007. 44:S27–S72.

14. Cunha BA. The antibiotic treatment of community-acquired, atypical, and nosocomial pneumonias. Med Clin North Am. 1995. 79:581–597.

15. McCormack WM. Kasper DL, Fauci AS, Braunwald E, Hauser SL, Longo DL, Jameson L, editors. Chapter 159. Infection due to mycoplasmas. Harrison's principles of internal medicine. 2005. 16th ed. New York: McGraw-Hill.Inc;1008.