Relationship between Complications of Mycoplasma Pneumonia and Titers of Cold Agglutinin and Mycoplasma Antibody in Children.
- Author:
Sung Soo RIM
1
;
Myung Hyun CHO
;
Byung Min MOON
;
Kyoung Sim KIM
;
Kibok KIM
Author Information
1. Department of Pediatrics, Kwangju Christian Hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Mycoplasma pneumonia;
Complication
- MeSH:
Asthma;
Child*;
Disseminated Intravascular Coagulation;
Encephalitis;
Female;
Gwangju;
Hematuria;
Hepatitis;
Humans;
Incidence;
Laryngitis;
Male;
Mycoplasma*;
Nephrotic Syndrome;
Pharyngitis;
Pleural Effusion;
Pneumonia;
Pneumonia, Mycoplasma*;
Proteinuria;
Psychotic Disorders;
Pulmonary Atelectasis;
Seizures;
Sex Ratio;
Sinusitis;
Thorax
- From:Journal of the Korean Pediatric Society
1996;39(12):1680-1689
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the relationship between the complications of mycoplasma pneumonia and titers of cold agglutinin and mycoplasma antibody in children. METHODS: 120 cases of mycoplasmal pneumonia in children who were admitted to the Pediatric Department of Kwangju Christian Hospital between June 1993 and May 1994 were analyzed. RESULTS: 1) The peak incidence of age was between 2 and 6 years, and the sex ratio of boy to girl was 1 : 1.1. 2) Chest X-ray examinations revealed that the most common type of pneumonia was bronchopneumonia(51 cases, 42.5%); unilateral involvement was common(60.8%); and the lower lobe was the most commonly involved(50 cases, 41.6%). 3) Pulmonary complications were sinusitis in 43 cases(35.8%), followed by atelectasis in 24, pleural effusion in 18, asthma in 15, pharyngitis in 9, laryngitis in 4 and Swyer- James syndrome in 1 case. 4) Extrapulmonary complications were hepatitis in 12 cases, proteinuria in 7, hematuria in 5, convulsion in 3, psychosis in 3 and nephrotic syndrome, encephalitis and disseminated intravascular coagulation in 1 each. 5) No significant relationships were found between the duration of pneumonia and cold agglutinin titer, and between the duration of pneumonia and mycoplasma antibody titer(p>0.05). 6) The occurrence rate of the complications was not related to cold agglutinin titer(r=0.291); but it was significantly related to mycoplasma antibody titer(r=0.764), i.e., the higher the mycoplasma antibody titer, the higher incidence of complications. CONCLUSIONS: The occurrence rate of complications of mycoplasma pneumonia was not related to cold agglutinin titer, but it was significantly correlated with mycoplasma antibody titer.
