European Journal of Pediatrics

, Volume 165, Issue 4, pp 275–277 | Cite as

Mycoplasma pneumoniae infection complicated by necrotizing pneumonitis with massive pleural effusion

  • Chih-Yung ChiuEmail author
  • Lin-Mei Chiang
  • Tzu-Ping Chen
Short Report

Mycoplasma pneumoniae is recognized as an important and frequent cause of community-acquired respiratory illness in school-aged children [4]. 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 [6]. 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...


Pleural Effusion Pleural Fluid Bacterial Pneumonia Mycoplasma Pneumoniae Left Lower Lobe 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Chih-Yung Chiu
    • 1
    • 2
    Email author
  • Lin-Mei Chiang
    • 1
  • Tzu-Ping Chen
    • 3
  1. 1.Department of PediatricsChang Gung Memorial HospitalKeelungTaiwan
  2. 2.Division of Pediatric PulmonologyChang Gung Children’s HospitalTaoyuanTaiwan
  3. 3.Division of Thoracic and Cardiovascular SurgeryChang Gung Memorial HospitalKeelungTaiwan

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