Emerging role of Mycoplasma pneumoniae in children with acute pharyngitis

被引:28
作者
Esposito, S [1 ]
Cavagna, R [1 ]
Bosis, S [1 ]
Droghetti, R [1 ]
Faelli, N [1 ]
Principi, N [1 ]
机构
[1] Univ Milan, Dept Pediat 1, I-20122 Milan, Italy
关键词
D O I
10.1007/s10096-002-0780-7
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
In order to define the role, the risk factors, and the clinical and laboratory characteristics of Mycoplasma pneumoniae infection in children with pharyngitis, 184 patients with acute non-streptococcal Pharyngitis (102 males; median age, 5.33 years) were studied. Acute Mycoplasma pneumoniae infection was demonstrated in 44 (23.9%) patients. A history of recurrent episodes of pharyngitis (defined as at least 3 acute episodes of pharyngitis in the 6 months preceding enrollment) appeared to be the more useful parameter for differentiating Mycoplasma pneumoniae pharyngitis from non-streptococcal non-Mycoplasma pneumoniae pharyngitis (P<0.05 in multivariate analysis). These data; which highlight the emerging role of Mycoplasma pneumoniae in acute pharyngitis, must be taken into account in the diagnosis and treatment of this clinical manifestation in children.
引用
收藏
页码:607 / 610
页数:4
相关论文
共 15 条
[1]   Molecular approaches to diagnosis of pulmonary diseases due to Mycoplasma pneumoniae [J].
Abele-Horn, M ;
Busch, U ;
Nitschko, H ;
Jacobs, E ;
Bax, R ;
Pfaff, F ;
Schaffer, B ;
Heesemann, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (02) :548-551
[2]   Primary care: Acute pharyngitis. [J].
Bisno, AL .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (03) :205-211
[3]   Chlamydia pneumoniae DNA detection in peripheral blood mononuclear cells is predictive of vascular infection [J].
Blasi, F ;
Boman, J ;
Esposito, G ;
Melissano, G ;
Chiesa, R ;
Cosentini, R ;
Tarsia, P ;
Tshomba, Y ;
Betti, M ;
Alessi, M ;
Morelli, N ;
Allegra, L .
JOURNAL OF INFECTIOUS DISEASES, 1999, 180 (06) :2074-2076
[4]   Results of molecular detection of Mycoplasma pneumoniae among patients with acute respiratory infection and in their household contacts reveals children as human reservoirs [J].
Dorigo-Zetsma, JW ;
Wilbrink, B ;
van der Nat, H ;
Bartelds, AIM ;
Heijnen, MLA ;
Dankert, J .
JOURNAL OF INFECTIOUS DISEASES, 2001, 183 (04) :675-678
[5]   Mycoplasma pneumoniae and Chlamydia pneumoniae infections in children with pneumonia [J].
Esposito, S ;
Blasi, F ;
Bellini, F ;
Allegra, L ;
Principi, N .
EUROPEAN RESPIRATORY JOURNAL, 2001, 17 (02) :241-245
[6]   Importance of acute Mycoplasma pneumoniae and Chlamydia pneumoniae infections in children with wheezing [J].
Esposito, S ;
Blasi, F ;
Arosio, C ;
Fioravanti, L ;
Fagetti, L ;
Droghetti, R ;
Tarsia, P ;
Allegra, L ;
Principi, N .
EUROPEAN RESPIRATORY JOURNAL, 2000, 16 (06) :1142-1146
[7]   The role of atypical pathogens: Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila in respiratory infection [J].
File, TM ;
Tan, JS ;
Plouffe, JF .
INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 1998, 12 (03) :569-+
[8]   Azithromycin prophylaxis during a hospital outbreak of Mycoplasma pneumoniae pneumonia [J].
Hyde, TB ;
Gilbert, M ;
Schwartz, SB ;
Zell, ER ;
Watt, JP ;
Thacker, WL ;
Talkington, DF ;
Besser, RE .
JOURNAL OF INFECTIOUS DISEASES, 2001, 183 (06) :907-912
[9]   Unexplained reduced microbiological efficacy of intramuscular benzathine penicillin G and of oral penicillin V in eradication of group A streptococci from children with acute pharyngitis [J].
Kaplan, EL ;
Johnson, DR .
PEDIATRICS, 2001, 108 (05) :1180-1186
[10]  
KORPPI M, 1997, PEDIAT PULMONOLO S16, V24, P144