A 7-year-old girl with subcutaneous emphysema, pneumomediastinum, pneumothorax, and pneumoretroperitoneum caused by Mycoplasma pneumoniae pneumonia

被引：6

作者：

Inamo, Yasuji ^{[1
]}

Ishizuka, Yoshiaki ^{[1
]}

Hashimoto, Koji ^{[1
]}

Hasegawa, Maki ^{[1
]}

Saito, Katsuya ^{[1
]}

Kida, Tomoko ^{[1
]}

Nakamura, Ayako ^{[1
]}

Ishikawa, Teruaki ^{[1
]}

Fuchigami, Tatsuo ^{[1
]}

机构：

[1] Nihon Univ, Dept Gen Pediat, Nerima Hikarigaoka Hosp, Tokyo 1790072, Japan

来源：

JOURNAL OF INFECTION AND CHEMOTHERAPY | 2012年 / 18卷 / 02期

关键词：

Subcutaneous emphysema; Pneumomediastinum; Pneumoretroperitoneum; Mycoplasma pneumoniae pneumonia; HEMOPHAGOCYTIC SYNDROME; CHILDREN; VIRUS;

D O I：

10.1007/s10156-011-0301-7

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

A 7-year-old girl presented with subcutaneous emphysema, pneumomediastinum (PM), pneumoretroperitoneum, and pneumothorax caused by Mycoplasma pneumoniae (MP). The patient had been treated with clarithromycin for pneumonia at another hospital; however, her condition deteriorated and complications developed. Soon after admission to our hospital, we started the patient on minocycline and prednisolone, and the complications improved promptly. Laboratory data showed serum ferritin and urinary beta-2-microglobulin levels were greatly elevated. We therefore speculated that the patient might have underlying hypercytokinemia. Prednisolone is an effective treatment for hypercytokinemia. We therefore recommend prednisolone treatment for cases of severe M. pneumoniae pneumonia that do not respond to antimicrobial agents.

引用

页码：247 / 250

页数：4

共 14 条

[1]

de Maupeou F, 2003, REV MAL RESPIR, V20, P965

[2]

DELVECCHIO G, 1995, AIDS, V9, P304, DOI 10.1097/00002030-199509030-00017

[3]

ESUMI N, 1988, CANCER-AM CANCER SOC, V61, P2071, DOI 10.1002/1097-0142(19880515)61:10<2071::AID-CNCR2820611023>3.0.CO

[4]

2-6

[5] Mycoplasma pneumoniae infection complicated by pneumomediastinum and severe mucositis [J].

Fearon, Deborah ;

Hesketh, Elizabeth L. ;

Mitchell, Anne E. ;

Grimwood, Keith .

JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2007, 43 (05) :403-405

[6]

Given K, 2008, J PAEDIATR CHILD H, V44, P604, DOI 10.1111/j.1440-1754.2008.01393.x

[7] Spontaneous pneumomediastinum complicating pneumonia in children infected with the 2009 pandemic influenza A (H1N1) virus [J].

Hasegawa, M. ;

Hashimoto, K. ;

Morozumi, M. ;

Ubukata, K. ;

Takahashi, T. ;

Inamo, Y. .

CLINICAL MICROBIOLOGY AND INFECTION, 2010, 16 (02) :195-199

[8] Spontaneous pneumomediastinum: Origin identified by chest computed tomography [J].

Kaneki, T ;

Kubo, K ;

Sone, S ;

Kawashima, A .

INTERNAL MEDICINE, 1998, 37 (10) :877-879

[9] Thoracic Air Leakage in the Presentation of Cast Bronchitis [J].

Kruger, Jonah ;

Shpringer, Chaim ;

Picard, Elie ;

Kerem, Eitan .

CHEST, 2009, 136 (02) :615-617

[10] Cytokine Profiles of Macrophage Activation Syndrome Associated with Rheumatic Diseases [J].

Maruyama, Junko ;

Inokuma, Shigeko .

JOURNAL OF RHEUMATOLOGY, 2010, 37 (05) :967-973

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