A Case of Mycoplasma Pneumonia Presenting with RUL Collapse

우상엽 무기 폐로 발현된 마이코플라즈마 폐렴 1예

  • Cho, Byung Hyun (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine, Kyunghee Medical Center) ;
  • Choi, Hye Sook (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine, Kyunghee Medical Center) ;
  • Cho, Chang Hyun (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine, Kyunghee Medical Center) ;
  • Kim, Yee Hyung (East and West Neo Medical Center) ;
  • Choi, Cheon Woong (East and West Neo Medical Center) ;
  • Park, Myung Jae (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine, Kyunghee Medical Center) ;
  • Yoo, Jee-Hong (East and West Neo Medical Center) ;
  • Kang, Hong Mo (Department of Pulmonary and Critical Care Medicine, Kyunghee University College of Medicine, Kyunghee Medical Center)
  • 조병현 (경희대학교 의과대학 호흡기내과학교실 경희의료원) ;
  • 최혜숙 (경희대학교 의과대학 호흡기내과학교실 경희의료원) ;
  • 조창현 (경희대학교 의과대학 호흡기내과학교실 경희의료원) ;
  • 김이형 (동서신의학병원) ;
  • 최천웅 (동서신의학병원) ;
  • 박명재 (경희대학교 의과대학 호흡기내과학교실 경희의료원) ;
  • 유지홍 (동서신의학병원) ;
  • 강홍모 (경희대학교 의과대학 호흡기내과학교실 경희의료원)
  • Received : 2007.10.19
  • Accepted : 2007.12.14
  • Published : 2007.12.30

Abstract

Mycoplasma pneumoniae is a common pathogen of community-acquired pneumonia. Mycoplasma pneumonia causes upper and lower respiratory tract symptoms in all age groups, with the highest attack rates in subjects 5 to 20 years old. In patients with mycoplasma pneumonia, the most common radiographic findings may be reticulonodular or interstitial infiltration, which have a predilection for the lower lobes. Findings that show lung collapse on a chest X-ray are very rare. We report a case of mycoplasma pneumonia that showed right upper lobe collapse.

Mycoplasma pneumoniae에 의한 폐렴의 임상양상은 다양하다고 알려져 있으며, 흉부 방사선 소견상 대부분 기관지 주위 폐렴이나 반점형 폐 침윤 양상을 보이고 폐허탈은 5% 정도로 매우 드물게 발생하는 것으로 되어 있다. 본 저자들은 미열, 두통, 건성 기침, 근육통 등 비정형적인 폐렴의 증상을 보이면서 대엽성 무기 폐로 발현한, 마이코플라즈마 폐렴을 경험하였기에 이를 보고하는 바이다.

Keywords

References

  1. Bartlett JG, Mundy LM. Community-acquired pneumonia. N Engl J Med 1995;333:1618-24 https://doi.org/10.1056/NEJM199512143332408
  2. Hammerschlag MR. Mycoplasma pneumoniae infections. Curr Opin Infect Dis 2001;14:181-6 https://doi.org/10.1097/00001432-200104000-00012
  3. Clyde WA Jr. Clinical overview of typical Mycoplasma pneumoniae infections. Clin Infect Dis 1993;17:S32-6 https://doi.org/10.1093/clinids/17.1.32
  4. Niitu YM. Pneumoniae respiratory diseases: clinical features-- children. Yale J Biol Med 1983;56:493-503
  5. Murray JF, Nadel JA. Chap 34. Pyogenic bacterial pneumonia, lung abscess and empyema. In: Caroline CJ, Sydney MF, editors. Textbook of respiratory medicine. 2th ed. Philadelphia: W.B. Sanders Company; 1994.p.1074-5
  6. Bruns AH, Oosterheert JJ, Prokop M, Lammers JW, Hak E, Hoepelman AI. Patterns of resolution of chest radiograph abnormalities in adults hospitalized with severe community-acquired pneumonia. Clin Infect Dis 2007; 45:983-91 https://doi.org/10.1086/521893
  7. Reimann HA. Atypical pneumonia in old age. Geriatrics 1968;23:173-82
  8. Meiklejohn G, Beck MD, Eaton MD. Atypical pneumonia caused by Psittacosis-like viruses. J Clin Invest 1944;23:167-75 https://doi.org/10.1172/JCI101480
  9. Chanock RM, Hayflick L, Barile MF. Growth on artificial medium of an agent associated with atypical pneumonia and its identification as a PPLO. Proc Natl Acad Sci USA 1962;48:41-9
  10. Busolo F, Tonin E, Meloni GA. Enzyme-linked immunosorbent assay for serodiagnosis of Mycoplasma pneumoniae infections. J Clin Microbiol 1983;18:432-5
  11. Daxboeck F, Krause R, Wenisch C. Laboratory diagnosis of Mycoplasma pneumoniae infection. Clin Microbiol Infect 20039:263-73 https://doi.org/10.1046/j.1469-0691.2003.00590.x
  12. Cunha BA. The atypical pneumonias: clinical diagnosis and importance. Clin Microbiol Infect 2006;12 Suppl 3:12-24 https://doi.org/10.1111/j.1469-0691.2006.01393.x
  13. Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious Diseases society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis 2007;44:S27-72 https://doi.org/10.1086/511159
  14. Cunha BA. The antibiotic treatment of community-acquired, atypical, and nosocomial pneumonias. Med Clin North Am 1995;79:581-97 https://doi.org/10.1016/S0025-7125(16)30058-X
  15. McCormack WM. Chapter 159. Infection due to mycoplasmas. In: Kasper DL, Fauci AS, Braunwald E, Hauser SL, Longo DL, Jameson L, et al, editors. Harrison`s principles of internal medicine. 16th ed. New York: McGraw-Hill.Inc; 2005.p.1008