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Increasing incidence of children with Mycoplasma pneumonia with atypical symptoms

Công LuậnCông Luận27/06/2023


Mycoplasma pneumonia is easily confused with the common cold. If not diagnosed correctly and treated promptly, the disease will become serious, leading to respiratory failure and life-threatening.

The most recent case is a child patient (8 years old, Lao Cai ). Before that, the child had a continuous high fever and cough. The family took the child to a nearby hospital and was diagnosed with viral fever. The child was monitored at home for 3 more days but the fever did not go away. After that, he was admitted to the Respiratory Center, National Children's Hospital. The disease progressed on the 5th day, with symptoms of continuous high fever, dry cough, rash all over the body, and a chest X-ray showed lobar pneumonia.

increased incidence of mycoplasma pneumonia in children with atypical symptoms figure 1

Dr. Nguyen Thi Thu Nga examines patient BN (8 years old, Lao Cai).

The child was ordered by doctors to undergo specialized testing to accurately identify the type of bacteria causing the above condition. The Mycoplasma Pneumoniae Real-time PCR test result was positive. After 5 days of treatment with specific antibiotics, the patient is now alert, no fever, no difficulty breathing, and the lungs have significantly improved.

Similarly, patient LDT (10 years old, in Thai Binh ) was brought to the Respiratory Center in a state of severe cough with continuous high fever, chest pain, difficulty breathing, and rash all over the body. He was treated at a lower-level hospital for 9 days without improvement.

After being admitted to the hospital, taking a medical history, performing a clinical examination and taking an X-ray, the doctors diagnosed the child with lobar pneumonia/left pleural effusion caused by Mycoplasma. Currently, after more than 10 days of treatment, the child is alert, eating well, has no chest pain, no difficulty breathing and can be discharged in the next few days.

increased incidence of mycoplasma pneumonia in children with atypical symptoms figure 2

Mycoplasma pneumonia is a fairly common lung infection.

According to Associate Professor, Dr. Le Thi Hong Hanh - Director of the Respiratory Center, National Children's Hospital, pneumonia has many causes, of which Mycoplasma Pneumoniae (atypical bacteria) is an important agent causing community-acquired pneumonia in children. The disease occurs at all ages, but is more common in older children. According to an American study, the rate of pneumonia caused by Mycoplasma Pneumoniae in children aged 5-10 is 16%, while in the group of children aged 10-17, this rate is up to 23%.

Currently, the Respiratory Center, National Children's Hospital receives 150-160 inpatients every day, of which Mycoplasma Pneumoniae infections account for about 30%, with an average of 30-40 patients being treated here every day.

Thu Phuong



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