| Clinical Study of Mycoplasmal Pneumonia Syndrome in Children |
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Hyeon-Hi Kim, Hung-Ki Min, Seung-Hoon Han, Jin-Han Kang, Joon-Sung Lee, Sung-Hoon Cho |
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Department of Pediatrics, Catholic University Medical College, Seoul, Korea |
| 소아에서 Mycoplasma pneumoniae 감염에 의한 폐렴 증후군의 임상적 고찰 |
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김현희, 민홍기, 한승훈, 강진한, 이준성, 조성훈 |
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가톨릭의과대학 소아과학교실 |
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| Abstract |
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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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