Clinical features according to chest radiologic patterns of Mycoplasma pneumonia in children / 영남의대학술지
Yeungnam University Journal of Medicine
; : 98-104, 2016.
Article
Dans En
| WPRIM
| ID: wpr-90949
Responsable en Bibliothèque :
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ABSTRACT
BACKGROUND:
Clinical differences in Mycoplasma pneumonia (MP) in children and adolescent patients according to abnormal infiltrate patterns on the chest X-ray were compared.METHODS:
From 2012 to 2015, patients (n=336) diagnosed with MP at Yeungnam University Medical Center have been classified as eiher lobar pneumonia or bronchopneumonia based on the infilterate patterns observed on chest X-ray. Cases were analyzed retrospectively for gender, age, seasonal incidence rate, main symptoms (fever duration, extrapulmonary symptoms), and laboratory results, including white blood cell count, hemoglobin, platelets, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR), as well as concurrent respiratory virus infection.RESULTS:
The following results were observed. First, lobar pneumonia affected 22.0% of all MP patients and was the most common in preschool children, with a high incidence rate in November and December. Second, lobar pneumonia had a longer fever duration than bronchopneumonia (p<0.001), and also showed significantly higher platelets (336.8 vs. 299.1 k/µL, p=0.026), ESR(46.3 vs. 26.0mm/hr, p<0.001) and CRP (4.86 vs. 2.18mg/dL, p=0.001). Third, viral co-infection was more common in bronchopneumonia (p=0.017), affecting 66.7% of infants and toddlers (p=0.034). Finaly, lobar consolidation was most common in both lower lobes.CONCLUSION:
MP in children has increased in younger age groups, and the rate of lobar pneumonia with severe clinical symptoms is higher in older children.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pneumopathie infectieuse
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Pneumopathie à mycoplasmes
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Saisons
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Thorax
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Sédimentation du sang
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Bronchopneumonie
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Protéine C-réactive
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Incidence
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Études rétrospectives
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Centres hospitaliers universitaires
Type d'étude:
Incidence_studies
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Observational_studies
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Prognostic_studies
Limites du sujet:
Adolescent
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Child
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Child, preschool
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Humans
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Infant
langue:
En
Texte intégral:
Yeungnam University Journal of Medicine
Année:
2016
Type:
Article