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KMID : 0390020090190020191
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Pediatric Allergy and Respiratory Disease
2009 Volume.19 No. 2 p.191 ~ p.198
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A Case of Mycoplasma pneumoniae Pneumonia with a Fulminant Course in a Previously Healthy Boy
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Kim Tae-Hee
Song Young-Hwa
Kim Myoung-Ju
Yu Jin-Ho
Cheon Chong-Kun
Jin Hyun-Seung
Park Sung-Jong
Hong Soo-Jong
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Abstract
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Mycoplasma pneumoniae is a common cause of community-acquired respiratory infection in children. Through uncertain pathologic mechanisms, which most probably involve immunologically cell-mediated tissue damage, it causes life-threatening disease on rare occasion. We herein report a case of M. pneumoniae pneumonia, with encephalopathy followed by multiple organ failure in a previously healthy boy. Despite of intensive therapies with intravenous antibiotics, corticosteroid, hemodiafiltration, and transfusion, his neurologic and pulmonary sequales have remained. In most cases M. pneumoniae pneumonia are usually self- limiting with benign outcome. Even in healthy individual, however, it can manifest itself with a fulminant course and multi organ failure.
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KEYWORD
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Mycoplasma pneumoniae, Pneumonia, Encephalopathy, Multiple organ failure
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