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肺炎支原体引起的肺炎

[Pneumonia caused by Mycoplasma pneumoniae].

作者信息

Dronda F, Moreno S, Montilla de Mora P, González F J, Hernández J M, Fortún J, Buzón L

出版信息

Enferm Infecc Microbiol Clin. 1989 Jun-Jul;7(6):312-5.

PMID:2490446
Abstract

Mycoplasma pneumoniae is a common causative agent of community acquired pneumonia. To assess its epidemiological, clinical and evolutive features in our area, we retrospectively analyzed 88 instances which occurred during 10 years. Both sexes were similarly involved, with a higher incidence in younger patients (mean age: 22 years). A clear seasonal predominance was not detected during the study period. In nearly one half of instance there were similar respiratory episodes in the same household. Cough was a constant symptom, followed by fever and headache. The absence of leukocytosis and the presence of cryoagglutinins were suggestive data. Pulmonary infiltration in the chest radiogram was unilateral in most cases, with a segmental distribution and predominating in the lower lobes. Hilar lymph nodes, pleural effusion and cavitation were present in a limited number of instances. All patients were cured without sequelae. The occurrence of particular epidemiological, clinical and laboratory data may be very helpful in suggesting the diagnosis of pneumonia due to Mycoplasma pneumoniae.

摘要

肺炎支原体是社区获得性肺炎的常见病原体。为评估其在我们地区的流行病学、临床及演变特征,我们回顾性分析了10年间发生的88例病例。男女受累情况相似,年轻患者发病率较高(平均年龄:22岁)。研究期间未发现明显的季节性优势。近一半病例中,同一家庭有类似的呼吸道发作。咳嗽是持续症状,其次是发热和头痛。白细胞不增多及冷凝集素阳性是提示性数据。胸部X线片上的肺部浸润在大多数情况下为单侧,呈节段性分布,以下叶为主。肺门淋巴结肿大、胸腔积液和空洞形成仅在少数病例中出现。所有患者均治愈,无后遗症。特定的流行病学、临床和实验室数据的出现可能对提示肺炎支原体所致肺炎的诊断非常有帮助。

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