Original Paper

European Journal of Pediatrics

, Volume 162, Issue 1, pp 44-46

First online:

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

  • Tomohide YoshidaAffiliated withDepartment of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan
  • , Yoshihide AsatoAffiliated withDepartment of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan
  • , Ichiro KukitaAffiliated withDepartment of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Masakatu OoshiroAffiliated withDepartment of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Itaru TakaraAffiliated withDepartment of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Hiroshi IhaAffiliated withDepartment of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Kazuhiro SugaharaAffiliated withDepartment of Anaesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Tsukasa KinjoAffiliated withDepartment of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
  • , Takao OhtaAffiliated withDepartment of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan

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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