Finally, non-survivors more commonly exhibited shock, need for MV and bilateral lung infiltrates. Non-survivors also had significantly higher serum levels of lactic dehydrogenase (LDH), blood urea nitrogen (BUN), creatinine, transaminases and troponins. Relative to survivors, non-survivors were older (65 ± 21 versus 53 ± 18, P = 0.009) and less frequently had obstructive airway disease (OAD P = 0.003). Results: Of the 203 patients analyzed, 16 (8%) died. Primary outcomes were need for intensive care unit (ICU) care, ICU and hospital length of stay (LOS), presence of shock and need for mechanical ventilation (MV). Methods: This was a retrospective analysis of adult patients diagnosed with MPP from January 2010 to January 2017. The goal of the study was to evaluate presentation, clinical associations and outcomes of MPP patients admitted to an inner-city hospital. Specifically, diagnosis is often controversial and understanding of disease presentation is limited. doi:10.1148/radiographics.21.1.Background: Mycoplasma pneumoniae pneumonia (MPP), or “walking pneumonia,” is an atypical mild disease with varied clinical findings. Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. Mycoplasma pneumonia: Clinical features and management. The radiographic patterns of acute mycoplasma pneumonitis. Roentgen features, differential diagnosis and review of literature. BMC Med Imaging (full text) - doi:10.1186/1471- Free text at pubmed - Pubmed citation Radiographic features of Mycoplasma pneumoniae pneumonia: differential diagnosis and performance timing. Mycoplasma pneumoniae pneumonia: radiographic and high-resolution CT features in 28 patients. Mycoplasma pneumonia: clinical and radiographic features in 39 children. Most patients recover well although a small proportion of patients may develop bronchiectasis in the affected region or Swyer James syndrome. Other findings include thickening of the bronchovascular bundles. Intrapulmonary nodules can also be seen (~90% of cases) and these tend to have a predominantly centrilobular distribution 3. In about 60% of cases, areas of consolidation may have a lobular distribution evident on CT. CTĪreas of ground-glass attenuation and air-space consolidation have been reported as being frequent on HRCT (~80% of cases 2) Other reported plain film findings include bilateral lesions, pleural effusion (uncommon - in ~25% of cases) and hilar lymphadenopathy. nodular or mass-like opacification ~5%.īilateral peribronchial perivascular interstitial infiltrates in central and middle lung zones have also been described.peribronchial and perivascular interstitial infiltrates - reticular densities most common ~49% (can be patchy with a segmental or non-segmental distribution).There can be variable chest radiographic features, although four different patterns have been described 1. It initially involves the peribronchovascular interstitium and then extends to the adjacent alveoli. ![]() It spreads via inhalation of aerosolized droplets containing the microorganisms. M. pneumoniae is the smallest organism which can be cultured in vitro and lacks a cell wall, hence it is resistant to the penicillins. In adults, mycoplasma can rarely result in bronchiolitis without giving pneumonia. It may account for 10-15% of community-acquired pneumonia in adults. It is relatively common in the pediatric population where it is considered the most common community-acquired pneumonia in 5 to 20-year-olds (may account for 40% of such cases 7).
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