Allergy, Asthma & Respiratory Disease

  • 제6권3호
  • /
  • Pages.155-160
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  • 2018
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  • 2288-0402(pISSN)
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  • 2288-0410(eISSN)
대한천식알레르기학회 (The Korean Academy of Asthma, Allergy and Clinical Immunology)
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소아에서 마이코플라스마 폐렴과 바이러스 폐렴의 임상적 특징 비교: 다기관 단면연구

Clinical features of Mycoplasma pneumonia in comparison with viral pneumoina in children: A multicenter, cross-sectional study

  • 안세환 (강동성심병원 소아청소년과) ;
  • 조홍제 (강동성심병원 소아청소년과) ;
  • 백혜성 (강동성심병원 소아청소년과) ;
  • 성명순 (인제대학교 해운대백병원 소아청소년과) ;
  • 윤정원 (서남대학교 명지병원 소아청소년과) ;
  • 최선희 (경희대학교병원 소아청소년과) ;
  • 신윤호 (강남차병원 소아청소년과) ;
  • 한만용 (분당차병원 소아청소년과)
  • An, Se Hwan (Department of Pediatrics, Kangdong Sacred Heart Hospital) ;
  • Cho, Hong Je (Department of Pediatrics, Kangdong Sacred Heart Hospital) ;
  • Baek, Hey-Sung (Department of Pediatrics, Kangdong Sacred Heart Hospital) ;
  • Sung, Myong Soon (Department of Pediatrics, Inje University Haeundae Paik Hospital) ;
  • Yoon, Jung Won (Department of Pediatrics, Myongji Hospital, Seonam University College of Medicine) ;
  • Choi, Sun Hee (Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University School of Medicine) ;
  • Shee, Youn Ho (Department of Pediatrics, CHA Gangnam Medical Center, CHA University School of Medicine) ;
  • Han, Man Yong (Department of Medicine, CHA Bundang Medical Center, CHA University School of Medicine)
  • 투고 : 2017.09.08
  • 심사 : 2017.10.31
  • 발행 : 2018.05.31
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to compare clinical features between Mycoplasma pneumonia and viral pneumonia. Methods: We retrospectively analyzed the medical records of 428 patients requiring hospitalization among children younger than 18 years of age in 5 hospitals in Seoul and Gyeonggi-do. There were 131 patients with M. pneumonia and virus coinfection, 167 patients with M. pneumonia without virus coinfection, and 130 patients with viral pneumonia. All subjects had radiographic evidence of pneumonia with specimens available for both M. pneumonia and viral testing. Virus was identified using the polymerase chain reaction assay in a nasopharyngeal or oropharyngeal swab. M. pneumoniae pneumonia was diagnosed serologically. Results: Human rhinovirus was detected in 60.3% (79 of 131) of children with M. pneumonia accompanied by virus coinfection. Respiratory syncytial virus (RSV) was detected in 38.2% (50 of 130) of children with viral pneumonia. The mean age was significantly lower in the viral pneumonia group than in the M. pneumonia group with and without virus coinfection. The sex distribution did not differ significantly among the 3 study groups. The procalcitonin level was higher in viral pneumonia and erythrocyte sedimentation rate level was higher in the M. pneumonia group although no significant difference was found in C-reactive protein level between the M. pneumonia and viral pneumonia groups. Conclusion: Clinical features and inflammatory markers between M. pneumonia and viral pneumonia may be useful for the treatment of community-acquired pneumonia.

키워드

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