Wachowski O, Demirakça S, Müller K-M, Scheurlen W
Department of Pediatrics, University of Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.
Arch Dis Child. 2003 Mar;88(3):270-2. doi: 10.1136/adc.88.3.270.
We describe a 10 year old boy with organising pneumonia associated with acute Mycoplasma pneumoniae infection. The diagnosis of organising pneumonia was made by open lung biopsy and the M pneumoniae infection was proven serologically. Antibiotic and long term corticosteroid treatment resulted in steadily improving pulmonary function monitored by spirometry. The introduction of anti-inflammatory treatment with NSAIDs/immunosuppressive agents in order to spare steroids was well tolerated and resulted in further improvement of the pulmonary function. To our knowledge this is the first documented case of Mycoplasma pneumoniae associated organising pneumonia to be reported in a child.
我们描述了一名10岁男孩，患有与急性肺炎支原体感染相关的机化性肺炎。机化性肺炎的诊断通过开胸肺活检确定，肺炎支原体感染通过血清学证实。抗生素和长期皮质类固醇治疗使通过肺活量测定监测的肺功能稳步改善。引入非甾体抗炎药/免疫抑制剂进行抗炎治疗以减少类固醇用量，耐受性良好，并使肺功能进一步改善。据我们所知，这是首次报道的儿童肺炎支原体相关机化性肺炎病例。
