Zhu Qiao, Guo Jian-Chun
Yongkang Hospital of Traditional Chinese Medicine, Zhejiang Yongkang 321300, China Xixi Hosipital of Hangzhou, Zhejiang 310023, China.
Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2013 Jun;27(3):207-9.
To study the clinical characteristics of pediatric Kawasaki disease complicating mycoplasma pneumoniae pneumonia.
Retrospective analysis was conducted on 11 children who had been diagnosed with Kawasaki disease with Mycoplasma pneumoniae pneumonia.
The 11 cases presented with varying degrees of fever, conjunctival congestion, skin rashes, lymphadenectasis, distal extremities lesions, heart and lung lesions. 8 of them were standartly treated with azithromycin, while 3 of them were treatad with azithromycin and erythromycin. 2 patients with pleural effusion complicated by lobar pneumonia consolidation were treated with gamma globulin combined aspirin. All of the 11 patients were healed.
Infections are common at the diagonosis of KD. Reasonable examination and antibiotics is useful to cure KD with MPP.
研究小儿川崎病合并支原体肺炎的临床特征。
对11例诊断为川崎病合并支原体肺炎的患儿进行回顾性分析。
11例患儿均有不同程度的发热、结膜充血、皮疹、淋巴结肿大、四肢末端病变、心肺病变。其中8例采用阿奇霉素规范治疗,3例采用阿奇霉素联合红霉素治疗。2例合并大叶性肺炎实变伴胸腔积液的患儿采用丙种球蛋白联合阿司匹林治疗。11例患儿均治愈。
感染在川崎病诊断中较为常见。合理检查及应用抗生素对川崎病合并支原体肺炎的治疗有效。