Shyam Tharun, Noor Momna, Tun Yan N, Nanda Saumya, Khan Omair, Patti Ravi K
Maimonides Medical Center, United States.
University of Nebraska Medical Center, United States.
J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):88-91. doi: 10.55729/2000-9666.1498. eCollection 2025.
pneumonia (MPP) most commonly presents as bronchitis or as a self-limited 'walking' community acquired pneumonia. A fulminant form of MPP may occur in 0.5 %-2 % of patients and is characterized by rapidly progressive respiratory failure and Acute respiratory distress syndrome (ARDS). Our case highlights the importance of considering fulminant MPP as a cause of ARDS, especially in the young adult and middle-aged population. We review the current literature and management principles of this rare disease with an emphasis on antibiotic stewardship and corticosteroid therapy. Further research is needed to better understand patterns of antibiotic resistance and to establish management guidelines for fulminant MPP.
支原体肺炎（MPP）最常表现为支气管炎或自限性“轻症”社区获得性肺炎。暴发性MPP可能发生在0.5%-2%的患者中，其特征为迅速进展的呼吸衰竭和急性呼吸窘迫综合征（ARDS）。我们的病例强调了将暴发性MPP视为ARDS病因的重要性，尤其是在青壮年和中年人群中。我们回顾了这种罕见疾病的当前文献和管理原则，重点是抗生素管理和皮质类固醇治疗。需要进一步研究以更好地了解抗生素耐药模式，并建立暴发性MPP的管理指南。
