Fulminant Mycoplasma pneumoniae Pneumonia

Yasuo TAKIGUCHI; Nobuaki SHIKAMA; Nobuyuki AOTSUKA; Hideyuki KOSEKI; Takashi TERANO; Akira HIRAI

doi:10.2169/internalmedicine.40.345

Fulminant Mycoplasma pneumoniae Pneumonia

Yasuo TAKIGUCHI, Nobuaki SHIKAMA, Nobuyuki AOTSUKA, Hideyuki KOSEKI, Takashi TERANO, Akira HIRAI

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Keywords: acute respiratory distress syndrome, multiple organ failure, disseminated intravascular coagulation

JOURNAL FREE ACCESS

2001 Volume 40 Issue 4 Pages 345-348

DOI https://doi.org/10.2169/internalmedicine.40.345

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Abstract

A 64-year-old woman who was previously in good health was admitted because of progressive respiratory distress. Her chest radiograph revealed bilateral widespread alveolar infiltrates. She was given a diagnosis of pneumonia caused by Mycoplasma pneumoniae serologically, acute respiratory distress syndrome, and disseminated intravascular coagulation. She died of multiple organ failure despite intensive therapy with mechanical ventilation, intravenous erythromycin and corticosteroids, continuous hemodiafiltration, and plasma exchange. Although Mycoplasma pneumoniae infection is usually a benign self-limited disease, this case emphasizes its potentially serious nature even in normal healthy individuals.
(Internal Medicine 40: 345-348, 2001)

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