Clinical characterizes of respiratory infection due to Mycoplasma pneumoniae in hospitalized children Características clínicas de la enfermedad respiratoria causada por Mycoplasma pneumoniae en niños hospitalizados

Paul D. M.L.A.; Pulgar B D.; Vega-Briceno L.E.; Potin S M; Ferrés G M; Holmgren P. L.; Sanchez D. I.; García B. C.

Keywords: chile, antibody, blood, pneumonia, bacterial, humans, human, male, mycoplasma, female, infant, article, bacterium, child, immunology, hospitalization, immunoglobulin, pneumoniae, preschool, Child,, Antibodies,, Pneumonia,, M

Abstract

Studies on Mycoplasma pneumoniae infection are scarce in Chile. Objective: To describe clinical characteristics associated with M. pneumoniae in children requiring hospitalization. Material and Methods: All children with a respiratory infection requiring hospitalizations between 2000-2005, whom had a M. pneumoniae specific IgM ? 1:32, were analyzed. Results: Fifty children meeting study criteria were identified with an ave-rage length of hospitalization of 4 days (range: 1-10); mean age was 5.4 years (46% were younger than 5 years). Common clinical features were cough (92%), fever (82%), malaise (74%) and respiratory distress (72%). At admission 40/45 children had hypoxemia. Chest-X ray showed interstitial pattern (69.3%), consolidation (51%) and hyperinsuflation (28.5%). Six patients had pleural effusion. Eighty four percent of patients had a favorable clinical outcome; eight children required admission to the PICU all of whom recovered. Conclusion: Respiratory infections associated with M. pneumoniae in our series of children had a highly variable and non-specific clinical spectrum. Chest-X rays showed different pattern in concordance with previous publications.

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Título de la Revista: Revista Chilena de Infectologia
Volumen: 26
Número: 4
Editorial: Sociedad Chilena de Infectología
Fecha de publicación: 2009
Página de inicio: 343
Página final: 349
URL: http://www.scopus.com/inward/record.url?eid=2-s2.0-70350077056&partnerID=q2rCbXpz