Cha Seung-Ick, Shin Kyung-Min, Jeon Kyung-Nyeo, Yoo Seung-Soo, Lee Jaehee, Lee Shin-Yup, Kim Chang-Ho, Park Jae-Yong, Jung Tae-Hoon
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Scand J Infect Dis. 2012 Oct;44(10):793-7. doi: 10.3109/00365548.2012.681696. Epub 2012 Jun 10.
Data regarding parapneumonic pleural effusion in Mycoplasma pneumoniae pneumonia (MP) patients are limited. In this study MP patients with pleural effusion tended to be younger and had longer hospital stays and more common use of systemic steroids compared to those without pleural effusion. In 5 of the 6 patients for whom pleural fluid data were available, the pleural effusion was lymphocyte-predominant rather than polymorphonuclear leukocyte-predominant; these patients also had elevated adenosine deaminase levels. Taken together, these results indicate that MP patients with pleural effusion may have a more severe form compared to those without pleural effusion. M. pneumoniae should be considered an aetiological agent of lymphocyte-predominant pleural effusion.
关于肺炎支原体肺炎（MP）患者合并类肺炎性胸腔积液的数据有限。在本研究中，与无胸腔积液的MP患者相比，有胸腔积液的MP患者往往更年轻，住院时间更长，全身使用类固醇更为常见。在6例可获得胸腔积液数据的患者中，有5例胸腔积液以淋巴细胞为主而非多形核白细胞为主；这些患者的腺苷脱氨酶水平也升高。综上所述，这些结果表明，与无胸腔积液的MP患者相比，有胸腔积液的MP患者可能病情更严重。肺炎支原体应被视为淋巴细胞为主型胸腔积液的病原体。
