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KMID : 1144320150470030197
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감염과 화학요법
2015 Volume.47 No. 3 p.197 ~ p.201
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Pertussis Accompanying Recent Mycoplasma Infection in a 10-Year-Old Girl
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Cheon Mi-Kyung
Na Hyun-Ju
Han Seung-Beom
Kwon Hyo-Jin
Chun Yoon-Hong
Kang Jin-Han
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Abstract
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Recently, the incidence of pertussis has been increasing; however, reports on mixed infection of pertussis with other respiratory pathogens are rare in highly immunized populations. We report the case of a 10-year-old girl who presented with cough, post-tussive emesis, and fever. She was subsequently diagnosed with bronchopneumonia. Although she had received five doses of diphtheria-tetanus-acellular pertussis vaccine, polymerase chain reaction of her nasopharyngeal aspirate confirmed Bordetella pertussis infection. In addition, serologic testing for Mycoplasma pneumoniae was also positive. The patient was treated with roxithromycin without any complications. This is the first report of mixed B. pertussis and M. pneumoniae infection in Korea. To avoid under-diagnosis, pertussis should be considered in patients with chronic cough even when other respiratory pathogens have been documented.
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KEYWORD
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Bordetella pertussis, Mycoplasma pneumoniae, Coinfection, Child
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