소아 대엽성 폐렴에서 마이코플라즈마 폐렴의 임상적 특성
분야
의약학 > 소아과학
저자
양은애 ( Eun Ae Yang ) , 강미현 ( Mi Hyeon Gang ) , 유선영 ( Sun Young You ) , 김진환 ( Jin Hwan Kim ) , 이재호 ( Jae Ho Lee )
발행기관
대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회)
간행물정보
Pediatric allergy and respiratory disease 2012년, 제22권 제3호, 256~264페이지(총9페이지)
파일형식
0o001490.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: This study was conducted to evaluate the prevalence, clinical characteristics and laboratory findings of lobar pneumonia in children caused by Mycoplasma pneumonia and to find a diagnostic tool for identifying M. pneumoniae infection in children. Methods : We analyzed medical records of 78 children between March 2010 and December 2011, who were admitted to our hospital and diagnosed with lobar pneumonia on the basis of chest X-rays. White blood cells (WBC), C-reactive protein (CRP), procalcitonin (PCT), specific antibodies to M. pneuomoniae, and cold agglutinin (CA) were measured at the time of admission. Children were divided into 2 groups: those with M. pneumoniae infection (group A) and those without infection (group B). Group A children were also subdivided into 2 categories: those with increased CA (group 1) and those without (group 2). Results: The prevalence of lobar pneumonia was higher in the year 2011 than in 2010. M. pneumonia infection usually occurs in summer and autumn. Group A children accounted for 75.6% (59/78) of all the cases. The onset ages was higher in group A than in group B (P =0.016). WBC counts and PCT values were higher in group B than in group A.(P =0.015 and P =0.011, respectively) Radiologic findings showed that the lower lobe was most commonly involved without predilection for either side and pleural effusion was present in 13.6% of all the cases. The duration of fever before admission was longer in group 1 than in group 2.(P =0.019) Conclusion : It is concluded that lobar pneumonia caused by M. pneumoniae can be more accurately diagnosed using serum PCT values than using CRP values.
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