Yonsei Med J.  1986 Dec;27(4):300-306. 10.3349/ymj.1986.27.4.300.

Mycoplasmal Pneumonia in Children

• Lee JK
• Hong CH
• Sohn YM
• Kim KE
• Kim DH
• Kim PK
• Oh KK

• KMID: 693045
• DOI: http://doi.org/10.3349/ymj.1986.27.4.300

Abstract

Of 354 pneumoria patients hospitalized between November 1984 and December 1985, 64 had mycoplasmal pneumonia with fever, cough, rales, and injected throats. Fifty-eight percent of them were between 5 and 9 years of age, and peak incidence was between 5 and 6. The mean age of onset was 6.3 years of age. Thirty-five were male, and 29, female. X-rays showed air-space pneumonia in 73.4%, with a preponderance of segmental or lobdr distribution, and hilar lymphadenopathy was frequent in comparsion with other pneumonias. Antibody titers against M. pneumoniae were distributed between 1:40 and 1:5, 120. Of 24 tested for cold agglutinins, 23 (96%) showed titers of 1:64 or higher. Extrapulmonary manifestations were uncommon, but hepatitis, hematuria, skin rash, gastroenteritis, and myopericarditis (one or more) occurred in some cases. In school-ased children with manifestations of "unusual pneumonia" we should test for Mycoplasma pneumoniae, provide adequate therapy, and prevent life-threatening complications.

Keyword

Mycoplasma pneumoniae; pneumonia

MeSH Terms

Adolescent
Child
Child, Preschool
Diagnosis, Differential
Female
Human
Infant
Male
Pneumonia/diagnosis
Pneumonia, Mycoplasma/diagnosis*