Perez C R, Leigh M W
Department of Pediatrics, University of North Carolina, Chapel Hill.
Chest. 1991 Sep;100(3):860-1. doi: 10.1378/chest.100.3.860.
A young man undergoing chemotherapy for Ewing's sarcoma presented with fever, neutropenia, anemia, thrombocytopenia, and a new infiltrate on the chest roentgenogram. Routine cultures and cytopathologic examination of bronchoalveolar lavage fluid provided no evidence for an etiology; however, special cultures of the BAL fluid demonstrated heavy growth of Mycoplasma pneumoniae. We recommend that evaluation of pneumonia in the immuno-compromised host include appropriate cultures of BAL fluid for M pneumoniae, particularly when the patient is 5 to 25 years old, the age of high incidence of mycoplasmal pneumonia.
一名正在接受尤因肉瘤化疗的年轻男子出现发热、中性粒细胞减少、贫血、血小板减少，胸部X线片显示有新的浸润影。常规培养及支气管肺泡灌洗液体细胞病理学检查均未发现病因；然而，支气管肺泡灌洗液体的特殊培养显示肺炎支原体大量生长。我们建议，对免疫功能低下宿主的肺炎评估应包括对支气管肺泡灌洗液体进行适当的肺炎支原体培养，尤其是当患者年龄在5至25岁时，这是支原体肺炎的高发年龄段。
