Mycoplasma pneumoniae infection complicated by necrotizing pneumonitis with massive pleural effusion
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Mycoplasma pneumoniae is recognized as an important and frequent cause of community-acquired respiratory illness in school-aged children . The clinical course of mycoplasma pneumonia is typically mild and self-limited. Pleural effusion is not a common feature of M. pneumoniae, and when it occurs there is usually a small amount of effusion which does not require chest tube insertion . We report here on a child with M. pneumoniae infection complicated by necrotizing pneumonitis (NP) who presents with respiratory distress secondary to massive pleural effusion.
A 7-year-old – previously healthy – girl presented to our hospital with a 10-day history of fever and cough. Shortness of breath developed on the day before admission. Antibiotics had not been administered by mouth previously, and no known allergy to drug or food was elicited. Upon arrival to our Emergency Department, she appeared to be acutely ill with respiratory distress. Her body temperature was 39.5°C, pulse rate was 163...
KeywordsPleural Effusion Pleural Fluid Bacterial Pneumonia Mycoplasma Pneumoniae Left Lower Lobe
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