Takiguchi Y, Shikama N, Aotsuka N, Koseki H, Terano T, Hirai A
Department of Internal Medicine, Chiba Municipal Hospital.
Intern Med. 2001 Apr;40(4):345-8. doi: 10.2169/internalmedicine.40.345.
A 64-year-old woman, who was previously in good health was admitted because of progressive respiratory distress. Her chest radiograph revealed bilateral widespread alveolar infiltrates. She was given a diagnosis of pneumonia caused by Mycoplasma pneumoniae serologically, acute respiratory distress syndrome, and disseminated intravascular coagulation. She died of multiple organ failure despite intensive therapy with mechanical ventilation, intravenous erythromycin and corticosteroids, continuous hemodiafiltration, and plasma exchange. Although Mycoplasma pneumoniae infection is usually a benign self-limited disease, this case emphasizes its potentially serious nature even in normal healthy individuals.
一名64岁女性，既往身体健康，因进行性呼吸窘迫入院。胸部X线片显示双侧广泛肺泡浸润。血清学诊断为肺炎支原体引起的肺炎、急性呼吸窘迫综合征和弥散性血管内凝血。尽管接受了机械通气、静脉注射红霉素和皮质类固醇、持续血液透析滤过及血浆置换等强化治疗，她仍死于多器官功能衰竭。虽然肺炎支原体感染通常是一种良性自限性疾病，但该病例强调了其即使在正常健康个体中也可能具有的严重性质。
