All issues > Volume 35(4); 1992

Original Article

J Korean Pediatr Soc. 1992;35(4):451-458. Published online April 15, 1992.

Clinical Study of Mycoplasmal Pneumonia Syndrome in Children

Hyeon-Hi HH Kim¹, Hung-Ki HK Min¹, Seung-Hoon SH Han¹, Jin-Han JH Kang¹, Joon-Sung JS Lee¹, Sung-Hoon SH Cho¹

¹Department of Pediatrics, Catholic University Medical College, Seoul, Korea

Abstract

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.

Keywords :Mycoplasmal pneumonia, Cold agglutinin, Antimycoplasmal antibody