Obliterative bronchiolitis due toMycoplasma pneumoniae infection in a child

Abstract

A 6-year-old girl presented withMycoplasma pneumoniae involving the right upper and lower lobes. She made a slow but complete recovery with resolution of the radiological changes. She re-presented 5 years later with a productive cough, recurrent wheezing and physical and radiological signs suggestive of obliterative bronchiolitis. This diagnosis was confirmed by ventilation — perfusion ($\dot V/\dot Q$) lung scan, and bronchography. The case highlights the value of$\dot V/\dot Q$ scanning in the diagnosis of obliterative bronchiolitis and confirms the previous reports that mycoplasma infections are not always benign.