Kashif Muhammad, Dudekula Rizwan Ahmed, Khaja Misbahuddin
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
Case Rep Med. 2017;2017:9602432. doi: 10.1155/2017/9602432. Epub 2017 Aug 21.
is an atypical bacterium that most commonly causes upper respiratory tract infections, but it can also cause pneumonia, referred to as "walking pneumonia." Although cavitary lesions are present in a wide variety of infectious and noninfectious processes, those attributable to . are extremely uncommon; thus, to date, epidemiological studies are lacking. Here, we present a rare case of a 20-year-old male, referred to us from a psychiatric facility for evaluation of a cough, who was found to have a cavitary lesion in the right upper lobe. An extensive workup for cavitary lesion was negative, but his mycoplasma IgM level was high. A computed tomography (CT) of the chest confirmed the presence of a cavitary lesion. After treatment with levofloxacin antibiotics, a follow-up CT showed complete resolution of the lesion. Our case is a rare presentation of mycoplasma pneumonia as a cavitary lesion in a patient without any known risk factors predisposing to mycoplasma infection. Early recognition and treatment with an appropriate antibiotic may lead to complete resolution of the cavitary lesion.
是一种非典型细菌，最常引起上呼吸道感染，但也可导致肺炎，称为“迁延性肺炎”。尽管空洞性病变存在于多种感染性和非感染性过程中，但由……引起的空洞性病变极为罕见；因此，迄今为止，缺乏流行病学研究。在此，我们报告一例罕见病例，一名20岁男性因咳嗽被精神科转诊至我院评估，结果发现右上叶有空洞性病变。针对空洞性病变的广泛检查结果为阴性，但他的支原体IgM水平较高。胸部计算机断层扫描（CT）证实存在空洞性病变。使用左氧氟沙星抗生素治疗后，随访CT显示病变完全消退。我们的病例是支原体肺炎在无任何已知支原体感染易感风险因素的患者中表现为空洞性病变的罕见情况。早期识别并使用适当抗生素治疗可能导致空洞性病变完全消退。
