重症肺炎支原体肺炎
Severe Mycoplasma pneumoniae pneumonia.
作者信息
Gump D W, Hawley H B
出版信息
Respiration. 1976;33(6):475-86. doi: 10.1159/000193765.
Four cases of severe Mycoplasma pneumoniae infection are reported which were treated in a single hospital over the course of 4 years. The difficulties in the diagnosis of M. pneumoniae infections are eminently demonstrated by these cases. Because of the fact that it generally takes 2-o weeks to make this diagnosis, the physician must utilize clues of limited reliability. If gram stains and culture of sputum fail to demonstrate any bacterial pathogen and the patient has a chest X-ray compatible with this diagnosis as well as a white blood count less than 15,000/mm3, M. pneumoniae infection may be present. A good antimicrobial choice in such a situation is erythromycin.
本文报告了在一家医院4年期间收治的4例重症肺炎支原体感染病例。这些病例充分显示了肺炎支原体感染诊断的困难。由于通常需要2至3周才能做出该诊断，医生必须利用可靠性有限的线索。如果痰涂片革兰氏染色和培养未发现任何细菌病原体，且患者胸部X线检查结果与此诊断相符，白细胞计数低于15,000/mm³，则可能存在肺炎支原体感染。在这种情况下，一个不错的抗菌药物选择是红霉素。
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