Clinical report on 68 cases of refractory mycoplasma pneumoniae pneumonia ( RMPP)

VernacularTitle:68例小儿难治性肺炎支原体肺炎临床分析
Author: Lei WANG ¹ ; Jian-Hua DUAN
Author Information

1. 首都医科大学附属北京儿童医院
Keywords: Mycoplasma pneumoniae; Mycoplasma infections; Macrolides; Prednisolone; Immunoglobulin; Broncho scopes
From: Chinese Journal of Experimental and Clinical Virology 2011;25(3):224-226
CountryChina
Language:Chinese
Abstract: Objective To summarize the early diagnose and treatment approaches of Refractory Mycoplasma Pneumoniae Pneumonia ( RMPP). Methods Medical documents of 68 cases of RMPP were reviewed. Lab and radiology evident such as CBC, CRP, MP-IgM, X-ray, etc. were collected. Results 100% RMPP patients suffered from high fever. Positive sign of lung became clear with the development of the disease. Complications as impairment of liver function, cardiac function and rush developed in few patients. 2-4 rounds treatment of macrolides and Methyllprednisolone were necessary for RMPP while antibiotic may be considered when there were evidence of bacteria infection. Immunoglobulin was recommended to the patients when macrolides and steroid seemed ineffective. Bronchofibroscope played an active role regarding the diagnosis and treatment of RMPP. Conclusion Early diagnosis is crucial in RMPP. Combination of multitreatment approaches is the key to cure RMPP.