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《Chinese Journal of Microecology》 2016-01
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Clinical characteristics of 62 cases of adult Mycoplasma pneumoniae pneumonia

HUANG Zhi-hui;ZHOU Hua;Department of Respiratory Diseases,the People′s Hospital of Anji;  
Objective To explore the clinical characteristics of community acquired Mycoplasma pneumoniae pneumonia(MPP)in adult.Methods 62 patients serologically diagnosed as MPP in Anji People′s Hospital from June 2011 to June 2013 were enrolled,and their clinical data were retrospectively analyzed.Results The most common symptoms of MPP included fever,refractory cough,sore throat,pleural effusion,and extra pulmonary manifestations such as rash and hemolytic anemia.White blood cell counts were lower than 10×109/L at the early stage of the disease in 80.3% of MPP patients.Imaging analysis showed that ground-glass opacity(GGO)and gas cavity consolidation shadow were common in these patients,with lobular or patchy distribution and uneven density.MP IgM was detected in the first week after MPP onset,with more than four fold increase or decrease in the recovery stage.All the patients were cured with macrolides or quinolones.Conclusion The clinical manifestations of adult MPP are complex and various,which may easily cause extrapulmonary organ damages.MP IgM can be used for MPP diagnosis in the early stage.Antibiotics such as macrolides or quinolones are effective for MPP treatment.
【CateGory Index】: R563.1
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