European Journal of Pediatrics

, Volume 162, Issue 1, pp 44–46

A 7-year-old boy with mycoplasmal infection requiring extracorporeal membrane oxygenation

Authors

  • Tomohide Yoshida
    • Department of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan
  • Yoshihide Asato
    • Department of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan
  • Ichiro Kukita
    • Department of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Masakatu Ooshiro
    • Department of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Itaru Takara
    • Department of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Hiroshi Iha
    • Department of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Kazuhiro Sugahara
    • Department of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Tsukasa Kinjo
    • Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • Takao Ohta
    • Department of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan
Original Paper

DOI: 10.1007/s00431-002-1057-y

Cite this article as:
Yoshida, T., Asato, Y., Kukita, I. et al. Eur J Pediatr (2003) 162: 44. doi:10.1007/s00431-002-1057-y

Abstract.

A 7-year-old boy with Down syndrome developed severe acute respiratory distress syndrome after a respiratory infection with Mycoplasma pneumoniae with an unusually high agglutination titre (1:10240). Initially, mechanical ventilation and nitric oxide inhalation were used, but these did not improve the alveolar-arterial oxygen gradient. Extracorporeal membrane oxygenation for 152 h improved the lung condition. Conclusion: our case suggests that Mycoplasma pneumoniae should be considered as an aetiological agent in acute respiratory distress syndrome. Extracorporeal membrane oxygenation might have a valuable role in the management.

Acute respiratory distress syndrome Extracorporeal membrane oxygenation Mycoplasma pneumoniae infection

Copyright information

© Springer-Verlag 2002