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Clinical Study of Mycoplasmal Pneumonia Syndrome in Children

Journal of the Korean Pediatric Society 1992;35(4):451-458.
Published online April 15, 1992.
Clinical Study of Mycoplasmal Pneumonia Syndrome in Children
Hyeon-Hi Kim, Hung-Ki Min, Seung-Hoon Han, Jin-Han Kang, Joon-Sung Lee, Sung-Hoon Cho
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
소아에서 Mycoplasma pneumoniae 감염에 의한 폐렴 증후군의 임상적 고찰
김현희, 민홍기, 한승훈, 강진한, 이준성, 조성훈
가톨릭의과대학 소아과학교실
Between September 1, 1989 and August 31, 1990, we studied 142 cases of mycoplasmal p neumonia syndrome in children who were admitted to the pediatric department of Catholic University Medical College. The results were as follows; 1) The highest incidence was in the age of 6 years in 27 cases and the male to female ratio was 1.33:1. 2) Monthly incidence was highest in July. 3) Cough was the most common chief complaint in all cases and then followed by fever, sp-utum, coryza, and malaise. 4) Abnormal breathing sound was the most common physical finding in 133 cases, and then followed by pharyngeal injection in 114 cases (80%), stridor in 33 cases (23%) etc. Skin rash was the most common among the physical findings of non-respiratory system. 5) Among the chest X-ray findings, bilateral infiltration in 43 cases (33%), bronchopneumo- nic infiltration in 50 cases (71%), atelectasis in 33 cases (23%), pleural effusion in 24 cases (1 7%) were noted. 6) The average time for resolution on chest X-ray finding was 14.3 days. 7) Otitis media in 2 cases, meningitis in 2 cases, and arthritis in one case were noted as no n-respiratory complications. 8) Cold agglutinin titer was converted to negative within 4 weeks from the onset of the disease but antimycoplasmal antibody titer was maintained significantly high over 4 weeks after the onset of the disease. 9) The recurrence was observed in one case, coincidence of brothers in 3 cases, past hist- ory of allergic disease in 12 cases. 10) The average duration of admission was 12.0 days. After erythromycin administration, cl-inical symptoms were improved in 94 cases (66%) and fever was subsided within 13 days.
Key Words: Mycoplasmal pneumonia, Cold agglutinin, Antimycoplasmal antibody

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