건강하였던 소아에서 전격성 감염의 경과를 보인 마이코플라즈마 폐렴 1례
A Case of Mycoplasma pneumoniae Pneumonia with a Fulminant Course in a Previously Healthy Boy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
M. pneumoniae는 호흡기 감염의 흔한 원인균으로 드문 경우에서 뇌신경계를 포함한 다장기 침범으로 나타나는 치명적인 경과를 보일 수 있으며 이는 주로 면역학적 기전에 의한 것으로 알려져 있다. 저자들은 건강하던 10세 남아에서 마이코플라즈마 폐렴에 동반된 뇌신경계 질환 및 다장기 부전의 심한 경과를 보인 감염을 경험하였기에 이를 보고하는 바이다.
Abstract
Mycoplasma pneumoniae is a common cause of community-acquired respiratory infection in children. Through uncertain pathologic mechanisms, which most probably involve immunologically cell-mediated tissue damage, it causes life-threatening disease on rare occasion. We herein report a case of M. pneumoniae pneumonia, with encephalopathy followed by multiple organ failure in a previously healthy boy. Despite of intensive therapies with intravenous antibiotics, corticosteroid, hemodiafiltration, and transfusion, his neurologic and pulmonary sequales have remained. In most cases M. pneumoniae pneumonia are usually self- limiting with benign outcome. Even in healthy individual, however, it can manifest itself with a fulminant course and multi organ failure.
참고문헌 (20)
- Christie LJ, "Pediatric encephalitis:what is the role of Mycoplasma pneumoniae?", Pediatrics, 120, pp.305~313 (2007)
- Powell DA, "Mycoplasma pneumoniae. in: Nelson textbook of pediatrics. 18th ed", pp.1278~1279 (2007), Elsevier
- Shah DC, "Adult resporatory distress syndrome due to mycoplasma pneumonia", Postgrad Med J, 72, pp.241~242 (1996)
- Walter ND, "Community outbreak of Mycoplasma pneumoniae infection: School-based cluster of neurologic disease associated with household transmission of respiratory illness", J Infect Dis, 198, pp.1365~1374 (2008)
- Guleria R, "Mycoplasma pneumoniae and central nervous system complications: A review", J Lab Cin Med, 146, pp.55~63 (2005)
- Kountouras D, "Fulminant Mycoplasma pneumoniae infection with multi-organ involvement: a case report", Eur J Intern Med, 14, pp.329~331 (2003)
- Tsiodras S, "Central nervous system manifestations of Mycoplasma pneumoniae infections", J Infect, 51, pp.343~354 (2005)
- Crum-Cianflone NF, "Bacterial, fungal, parasitic, and viral myositis", Clin Microbiol Rev, 21, pp.273~294 (2008)
- Bitnun A, "Acute childhood encephalitis and Mycoplasma pneumoniae", Clin Infect Dis, 32, pp.1674~1684 (2001)
- Narita M, "Mycoplasma pneumoniae encephalitis and cytokines", Pediatrics, 121, pp.224~ (2008)
- Narita M, "Cytokines involved in CNS manifestations caused by Mycoplasma pneumoniae", Pediatr Neurol, 33, pp.105~109 (2005)
- Chan ED, "Fulminant Mycoplasma pneumoniae pneumonia", West J Med, 162, pp.133~142 (1995)
- Domenech C, "Role of Mycoplasma pneumoniae in pediatric ence phalitis", Eur J Clin Microbiol Infect Dis, 28, pp.91~94 (2009)
- Lin WC, "Mycoplasma pneumoniae encephalitis in childhood", J Microbiol Immunol Infect, 35, pp.173~178 (2002)
- Guckel C, "Mycoplasmal pneumonias in childhood", Pediatr Radiol, 19, pp.499~503 (1989)
- Wang RS, "Necrotizing pneumonitis caused by Mycoplasma pneumoniae in pediatric patients", Pediatr Infect Dis, 23, pp.564~567 (2004)
- Sanchez-Vargas FM, "Mycoplasma pneumoniae-an emerging extrapulmonary pathogen", Clin Microbiol Infect, 14, pp.105~117 (2008)
- Daxboeck F, "Fatal Mycoplasma pneumoniae pneumonia in a previously healthy 18-year-old girl", Wien Klin Wochenschr, 119, pp.379~384 (2007)
- Yis U, "Mycoplasma pneumoniae:nervous system complications in childhood and review of the literature", Eur J Pediatr, 167, pp.973~978 (2008)
- Takiguchi Y, "Fulminant Mycoplasma pneumoniae pneumonia", Intern Med, 40, pp.345~348 (2001)