A case of Fulminant Mycoplasma Pneumonia Complicated with ARDS and Hemolytic Anemia.
10.4046/trd.1998.45.3.636
- Author:
Jae Sik KWAG
1
;
Tae Young KO
;
Byung Sun CHUNG
;
Sung Bae LEE
;
Kyung Suk OH
;
Se Jong PARK
;
Myung Sun KIM
Author Information
1. Department of Internal Medicine, Hanil General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Mycoplasma pnumoniae;
ARDS;
Hemolytic anemia
- MeSH:
Anemia, Hemolytic*;
Erythromycin;
Hepatitis;
Mycoplasma pneumoniae;
Mycoplasma*;
Pneumonia, Mycoplasma*;
Prednisolone;
Prevalence;
Radiography;
Respiration, Artificial;
Thorax
- From:Tuberculosis and Respiratory Diseases
1998;45(3):636-642
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The frequency of fulminant peumonia due to Mycoplasma pneumoniae is relatively rare despite the high prevalence of Mycoplasma species infection in the general population We report a case of mycoplasma pneumonia complicated with severe ARDS, overt hemolytic anemia and hepatitis. He had high titers of antimycoplasma antibody and cold agglutinin. Despite erythromycin administration, the pneumonic infiltration on chest radiography was not resolved, and mechanical ventilation was needed for 16 days. During the therapeutic course, his hemoglobin decreased. After the administration of prednisolone, his hemoglobin increased and pneumonic infitration was totally resolved. He had a progressively favorable course and could be discharged in relatively good clinical condition.
