Llibre J M, Urban A, Garcia E, Carrasco M A, Murcia C
Division of Internal Medicine, Hospital Sant Jaume, Calella, Barcelona, Spain.
Clin Infect Dis. 1997 Dec;25(6):1340-2. doi: 10.1086/516124.
A patient with bronchiolitis obliterans organizing pneumonia (BOOP) associated with acute Mycoplasma pneumoniae infection is described. Although mycoplasmas have occasionally been associated with bronchiolitis obliterans, to the best of our knowledge, this is the first well-documented case of BOOP associated with M. pneumoniae infection. The diagnosis of BOOP was made by open-lung biopsy after fiberoptic transbronchial biopsy proved nondiagnostic. Corticosteroid therapy was administered and a dramatic improvement was observed; the patient remained without complaints during a 3-year follow-up period.
本文描述了一名患有闭塞性细支气管炎并机化性肺炎（BOOP）且与急性支原体肺炎感染相关的患者。尽管支原体偶尔与闭塞性细支气管炎有关，但据我们所知，这是首例有充分记录的与肺炎支原体感染相关的BOOP病例。在纤维支气管镜经支气管活检未能确诊后，通过开胸肺活检确诊为BOOP。给予了皮质类固醇治疗，观察到病情显著改善；在3年的随访期内，患者无不适主诉。
