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China - Media - Mycoplasma pneumonia: "pediatrics in many hospitals looking at a child with fever & cough there's a long queue spread in many places" - September 23, 2023

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  • China - Media - Mycoplasma pneumonia: "pediatrics in many hospitals looking at a child with fever & cough there's a long queue spread in many places" - September 23, 2023

    After four days of high fever, the 3-year-old boy was diagnosed with "white" lungs! Recently, many children have been infected →


    2023-09-23 10:26
    Guangdong
    Source: The Paper·The Paper·Media


    recent
    Pediatrics in many hospitals
    Looking at a child with fever and cough
    There's a long queue
    spread in many places

    News on cases of "Mycoplasma pneumoniae" in children
    There are still babies
    Accidentally become "white lung"
    What are the symptoms of Mycoplasma pneumoniae pneumonia?
    How to identify, prevent and treat it?
    It’s not a bacteria or a virus, but it can cause severe pneumonia
    According to media reports, in Wuhan recently, a 10-year-old boy suffered from high fever for more than 10 days.After many days of medication in the primary hospital, which still failed, he was transferred to the Wuhan Pulmonary Hospital. Doctors quickly identified the culprit—not a bacterium or a virus, but a microorganism called mycoplasma.
    △White lung appears in two-thirds of the right upper lung.
    Yang Qingqing, deputy director of the Second Respiratory Ward of Wuhan Pulmonary Hospital, said that the CT examination found "large areas of consolidation" in the child's right lung, which is often referred to as "white lung." Through relevant examinations, Xiaoyang's Mycoplasma antibody was positive and Mycoplasma pneumoniae nucleic acid was positive, and he was immediately diagnosed with Mycoplasma pneumoniae pneumonia.
    △The lungs of patients with mycoplasma infection appear like tree fog.
    At present, Xiaoyang's condition has been controlled and he is on the verge of recovery.
    What is mycoplasma? What is mycoplasma pneumonia?
    Mycoplasma is a microbial pathogen other than bacteria and viruses.
    When pediatricians call “mycoplasma,” they usually mean Mycoplasma pneumoniae. Its "size" is between bacteria and viruses, with a diameter of 2 to 5 microns.
    Infection with Mycoplasma pneumoniae, if severe, may cause the child to suffer from Mycoplasma pneumonia.
    Some children with mycoplasma pneumonia may even develop "white lungs."
    This is because Mycoplasma pneumoniae stimulates the body's immune response in the human body. From the patient's chest X-ray, we can see "white lungs" ranging in size.
    This is not to say that there are all "mycoplasma" there, but mainly the immune damage and inflammatory infiltration triggered by mycoplasma.
    It can be said that mycoplasma pneumonia is pneumonia caused by infection + immune response.
    Yang Qingcheng said that mycoplasma infection often causes respiratory tract infections, often pharyngitis and bronchitis, which behave like a cold. Some are self-limiting, and some have stubborn dry cough. In severe cases, they can develop into pneumonia or even severe pneumonia, similar to Xiaoyang. Some patients will develop local "white lungs" or even more serious conditions.
    He reminded that we must pay attention to mycoplasma infection. When symptoms similar to common cold occur, such as cough and fever that do not improve after two or three days of treatment, you need to seek medical treatment promptly.
    How is Mycoplasma pneumoniae spread?
    Mycoplasma pneumoniae is mainly transmitted through droplets and direct contact.
    Oropharyngeal secretions when patients cough, sneeze, or have runny noses can carry disease-causing pathogens. If you come into close contact or inhale aerosols, you may be "infected".
    After infection with Mycoplasma pneumoniae, the incubation period is 1 to 3 weeks.
    However, 2 to 8 days before the onset of the disease, that is, during the incubation period, the patient can also "detoxify." Not to mention the acute attack period.
    Children and adolescents are susceptible to Mycoplasma pneumoniae.
    Will you get pneumonia if infected with Mycoplasma pneumoniae?
    Although it is a bit convoluted, but: Mycoplasma pneumonia infection ≠ Mycoplasma pneumonia.
    Some patients have no symptoms or only mild upper respiratory tract infection symptoms after infection, similar to a cold, and can recover on their own.
    Of course, most children infected with mycoplasma will have fever (mainly moderate to high fever) and cough (paroxysmal dry cough, severe cough), which may be accompanied by headache, runny nose, sore throat, earache, etc.
    △Symptoms of Mycoplasma pneumoniae infection. Source: Basic public health service project promotion platform
    Research data shows that——
    About 10% to 40% of children with respiratory infections caused by Mycoplasma pneumoniae will develop pneumonia, and it is more common in children aged 5 years and above.
    Therefore, if your child has repeated high fever (fever for more than 3 days) and severe cough, it is best to go to the hospital in time.
    If you have a baby at home, you should pay special attention: the symptoms in infants and young children are relatively severe and may cause wheezing or difficulty breathing. If any abnormality is found, seek medical attention as soon as possible.
    a reminder
    If your child's fever persists, even if he or she has no cough or has less cough, it is recommended to go to the hospital.
    This is because mycoplasma causes "white lungs" quickly and early, while cough symptoms often appear late; in the early stages, doctors may not even be able to hear pneumonia sounds during auscultation.
    Therefore, for older children who have recurrent fever for more than four or five days, doctors generally recommend taking a chest X-ray to see if there is pneumonia.
    To prevent mycoplasma infection, which vaccine is effective?
    Currently, there is no vaccine to prevent Mycoplasma pneumoniae infection.
    Moreover, people infected with Mycoplasma pneumoniae may be infected again after recovery.
    To prevent it, you need to do the following:
    Wear a mask: During the epidemic season, try to avoid going to crowded and poorly ventilated public places, and wear a mask when you must go. After going to public places and returning home, wash your hands and face carefully and pay attention to hand hygiene.
    Wash your hands frequently: Use soap or hand sanitizer to wash your hands under running water for more than 20 seconds before eating, using the toilet, and after going home.
    Ventilate more: Open windows frequently at home to keep the environment clean and air circulated. Open indoor windows for ventilation 2 to 3 times a day, 20 minutes each time.
    Balanced nutrition: Insist on physical exercise, ensure adequate sleep, eat a reasonable diet, ensure adequate nutrition, and improve the body's immunity and resistance.
    Take protection: If a family member has symptoms such as fever and cough, the children at home are most likely to be cross-infected. It is recommended to wash hands and wear masks to avoid taking care of children while sick.
    Pay attention to children's health
    Take protective measures
    Please seek medical treatment promptly if necessary
    Original title: "After four days of high fever, a 3-year-old boy was diagnosed with "white" lungs! Recently, many children have been infected →》


    ​source: zhttps://www.thepaper.cn/newsDetail_forward_24720072
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