sharon sanders
Editor-in-Chief & President
This disease strikes early! High fever persists, children are frequently recruited...
2023-08-16 00:01
Shandong
Source: The Paper, The Paper, Government Affairs
Mycoplasma pneumoniae infection in previous years
high in autumn and winter
But it's coming early this year
Many parents said
My own baby was also recruited
nearly two months
Among the children who were treated at the People's Hospital of Cixi City, Ningbo, Zhejiang
Significant increase in older children infected with mycoplasma pneumonia
7-year-old girl with fever for 10 days
It was severe pneumonia
Chengcheng, a 7-year-old in Hangzhou, was unfortunately recruited. He had persistent fever, increased cough, and no improvement...
Chengcheng started to have a fever 10 days ago, reaching a maximum of 40.0°C. After her mother gave her oral antipyretics, she still did not improve, so she was treated with infusion in a community hospital. A few days later, Chengcheng began to cough, and CT showed inflammation in the middle and lower lobe of the right lung. Chengcheng's mother took Chengcheng back to the community hospital and continued to hang salt water, but the cough and sputum continued to worsen, and the fever did not ease. After repeated treatment, Cheng Cheng was admitted to the hospital by the pediatrician with "bronchial pneumonia" in the Maternal and Child Health Hospital of Linping District, Hangzhou.
]
Orange oranges have high fever for more than 5 days, and the lungs have a large range of lesions, which meet the criteria for severe pneumonia. Some severe pneumonia may cause low blood oxygen saturation, acid-base imbalance, phlegm blockage, encephalopathy, gastroenteritis, etc., and it is necessary to pay close attention to the condition and Deal with it in a timely manner.
According to Chengcheng's age characteristics and recent epidemiological history, the doctor perfected relevant auxiliary examinations for respiratory pathogens, and the test results showed that Mycoplasma pneumoniae was positive. The "real culprit" who caused Chengcheng's severe pneumonia has been found. Through systematic treatment against mycoplasma pneumonia, Cheng Cheng's condition gradually improved, and a reexamination of the chest radiograph showed that the pneumonia lesion in the lower right had absorbed more than before. After 9 days of hospitalization, Cheng Cheng finally recovered and was discharged from the hospital.
high fever for three days
9-year-old boy's lungs "large consolidation"
Recently, in the pediatric ward of Cixi People's Hospital, patient Xiao Ming (pseudonym) had the results of mycoplasma pneumoniae antibody and mycoplasma DNA, which were positive, which was consistent with the judgment of Wu Xu, the director of pediatrics, that the child did suffer from mycoplasma pneumonia.
Three days ago, Xiao Ming started to have a dry cough, accompanied by a high fever, which exceeded 39°C at the highest point. At first, I also took some antipyretics and cough medicines, but the fever kept coming back and forth, and I couldn't suppress it. After staying at home for 3 days, seeing the child's fever persisting, the family sent him to the hospital.
Wu Xu, director of the Department of Pediatrics, received the consultation. He performed lung auscultation on the child, and the rales were not obvious. According to the recent epidemic situation and the child's clinical manifestations, Director Wu thought that pneumonia was more likely, so he asked the child to do an auscultation. Lung CT, blood routine CRP test, mycoplasma antibody and DNA test.
The results of the lung CT examination showed that Xiao Ming had a large area of consolidation in his right lung, his blood routine leukocytes did not increase significantly, and his CRP was basically normal. Although the results of mycoplasma antibodies and DNA were not reported, director Wu Xu, who has many years of experience, judged that Xiao Ming’s condition Severe pneumonia caused by Mycoplasma pneumoniae infection may require immediate hospitalization.
The family members followed the doctor's advice and went through the hospitalization procedures very cooperatively. After about a week of treatment, Xiao Ming's condition improved day by day.
since June
The number of children with mycoplasma pneumonia increased significantly
Respiratory ward of Nanjing Children's Hospital
There is also a case of full load operation
On the morning of August 14, the reporter came to the outpatient clinic of the Respiratory Department of Nanjing Children's Hospital. There was an endless stream of children who came to see the doctor, basically with symptoms such as cough and fever.
The doctor told reporters that the high incidence season of mycoplasma pneumonia is autumn and winter, and the last outbreak was in autumn and winter of 2018. This year is special, which may be related to the epidemic of the new crown virus in previous years.
"Maybe 60% to 70% of the children who need to be hospitalized in the ward have mycoplasma pneumonia. The exact reason is not very clear. Scholars at home and abroad believe that it may be related to the very low mycoplasma infection during the entire epidemic period and the decline in population immunity. Yes. After the epidemic control measures were changed, the first thing children experienced was influenza A, followed by syncytial virus, and then mycoplasma. Mycoplasma was different from influenza A and syncytial virus, and it lasted for a long time. Two or three months." said Liu Feng, Chief Physician of the Respiratory Department of Nanjing Children's Hospital.
Director Liu Feng told reporters that mycoplasma pneumonia infection is more common in children and adolescents of all ages, especially children over 5 years old and school-age children.
After mycoplasma pneumonia infection, the main symptoms are persistent fever, cough, wheezing, and rapid breathing.
Mycoplasma pneumonia treatment in children
Mainly macrolides
The total course of treatment is 10 to 14 days
Doctors reminded that anti-inflammatory drugs such as cephalosporins and penicillins are not effective in the treatment of mycoplasma pneumonia. The treatment of mycoplasma pneumonia in children is mainly based on macrolides, such as azithromycin, and the total course of treatment is about 10 to 14 days.
"Avoid close contact with sick children and children with symptoms and chronic cough. After school starts, September to October is the peak of the virus. Children must pay attention not to overwork and go to the hospital in time if they have symptoms." Liu Feng told reporters.
Early prevention and early treatment!
High incidence of respiratory diseases
Also pay attention to syncytial virus, new coronavirus
Mycoplasma pneumoniae is mainly transmitted through respiratory droplets. There is no vaccine for Mycoplasma pneumoniae. Therefore, prevention of infection should start with strengthening the body and maintaining good personal hygiene habits. Doctors reminded that during the period of high incidence of respiratory diseases, in addition to preventing mycoplasma pneumoniae, special attention should also be paid to syncytial virus and new coronavirus, early prevention and early intervention.
"If the child coughs very badly, and he is at the school age or preschool age, the possibility of mycoplasma is relatively high. Syncytial virus is also a very common virus. It is more common in young ages, and it is more common under the age of two. If the child coughs with wheezing At this time, there is a lot of syncytial virus. Compared with mycoplasma and syncytial virus, children's new crown is relatively mild, and most of them can be self-limited." Liu Feng, chief physician of the Department of Respiratory Medicine, Nanjing Children's Hospital, said.
The doctor reminded that when a child develops fever, cough and other symptoms that cannot be relieved for more than 3 days, it is recommended to go to the hospital for active treatment so as not to develop severe illness due to delay of the illness.
What is Mycoplasma pneumoniae?
Mycoplasma pneumoniae is a pathogenic organism between bacteria and viruses. It causes host cell swelling, necrosis, etc. by adhering to the respiratory epithelium, causing interstitial pneumonia, also known as mycoplasma pneumonia.
Mycoplasma is mainly transmitted through respiratory droplets and direct contact, and is more likely to occur in preschool and school-age children. All can fall ill all the year round, high incidence in autumn and winter in the north, high incidence in summer and autumn in the south.
What are the symptoms of Mycoplasma pneumoniae infection?
The most prominent manifestation of Mycoplasma pneumoniae infection is a relatively severe irritating dry cough, coughing day and night; fever is mostly low-grade fever, a small number of children have high fever, and persistent high fever often indicates serious illness; it may be accompanied by headache, runny nose, sore throat, ear Pain etc. If the child continues to have a high fever, severe cough, difficulty breathing, poor energy, difficulty eating, or even dehydration, seek medical attention as soon as possible.
In severe cases, serious consequences such as pneumonia, hepatitis, nephritis, myocarditis, and meningitis may also occur, and untimely treatment may be fatal.
The doctor reminds:
don't do this
"Mycoplasma is neither a bacterium nor a virus. It is a type of atypical microorganism with no cell wall, high pleomorphism, and a size between bacteria and viruses. For this reason, cephalosporins and penicillins inhibit bacteria by destroying the cell wall. Bacterial antibacterial drugs are ineffective against Mycoplasma pneumoniae, which has no cell wall.” Director Wu reminded parents not to treat Mycoplasma pneumonia as a common cold or flu. It will only delay the illness.
Director Wu introduced that at present, mycoplasma pneumonia can be diagnosed clinically by detecting mycoplasma pneumoniae antibody, mycoplasma DNA and mycoplasma RNA combined with chest X-ray or lung CT. The treatment of mycoplasma pneumonia in children is mainly based on macrolide drugs, such as azithromycin, and the total course of treatment is about 10-14 days.
How to prevent Mycoplasma pneumoniae infection?
To prevent Mycoplasma pneumoniae infection, you can start from the following points: pay attention to indoor ventilation, try to avoid public places with dense crowds and poor ventilation during the epidemic season; Pay attention to indoor ventilation; when sneezing, cover it with your sleeve or elbow instead of directly covering it with your hands.
Original title: "This disease strikes ahead of time! The high fever does not go away, and the child is frequently recruited...》
source: zhttps://www.thepaper.cn/newsDetail_forward_24248890
2023-08-16 00:01
Shandong
Source: The Paper, The Paper, Government Affairs
Mycoplasma pneumoniae infection in previous years
high in autumn and winter
But it's coming early this year
Many parents said
My own baby was also recruited
nearly two months
Among the children who were treated at the People's Hospital of Cixi City, Ningbo, Zhejiang
Significant increase in older children infected with mycoplasma pneumonia
7-year-old girl with fever for 10 days
It was severe pneumonia
Chengcheng, a 7-year-old in Hangzhou, was unfortunately recruited. He had persistent fever, increased cough, and no improvement...
Chengcheng started to have a fever 10 days ago, reaching a maximum of 40.0°C. After her mother gave her oral antipyretics, she still did not improve, so she was treated with infusion in a community hospital. A few days later, Chengcheng began to cough, and CT showed inflammation in the middle and lower lobe of the right lung. Chengcheng's mother took Chengcheng back to the community hospital and continued to hang salt water, but the cough and sputum continued to worsen, and the fever did not ease. After repeated treatment, Cheng Cheng was admitted to the hospital by the pediatrician with "bronchial pneumonia" in the Maternal and Child Health Hospital of Linping District, Hangzhou.
]
Orange oranges have high fever for more than 5 days, and the lungs have a large range of lesions, which meet the criteria for severe pneumonia. Some severe pneumonia may cause low blood oxygen saturation, acid-base imbalance, phlegm blockage, encephalopathy, gastroenteritis, etc., and it is necessary to pay close attention to the condition and Deal with it in a timely manner.
According to Chengcheng's age characteristics and recent epidemiological history, the doctor perfected relevant auxiliary examinations for respiratory pathogens, and the test results showed that Mycoplasma pneumoniae was positive. The "real culprit" who caused Chengcheng's severe pneumonia has been found. Through systematic treatment against mycoplasma pneumonia, Cheng Cheng's condition gradually improved, and a reexamination of the chest radiograph showed that the pneumonia lesion in the lower right had absorbed more than before. After 9 days of hospitalization, Cheng Cheng finally recovered and was discharged from the hospital.
high fever for three days
9-year-old boy's lungs "large consolidation"
Recently, in the pediatric ward of Cixi People's Hospital, patient Xiao Ming (pseudonym) had the results of mycoplasma pneumoniae antibody and mycoplasma DNA, which were positive, which was consistent with the judgment of Wu Xu, the director of pediatrics, that the child did suffer from mycoplasma pneumonia.
Three days ago, Xiao Ming started to have a dry cough, accompanied by a high fever, which exceeded 39°C at the highest point. At first, I also took some antipyretics and cough medicines, but the fever kept coming back and forth, and I couldn't suppress it. After staying at home for 3 days, seeing the child's fever persisting, the family sent him to the hospital.
Wu Xu, director of the Department of Pediatrics, received the consultation. He performed lung auscultation on the child, and the rales were not obvious. According to the recent epidemic situation and the child's clinical manifestations, Director Wu thought that pneumonia was more likely, so he asked the child to do an auscultation. Lung CT, blood routine CRP test, mycoplasma antibody and DNA test.
The results of the lung CT examination showed that Xiao Ming had a large area of consolidation in his right lung, his blood routine leukocytes did not increase significantly, and his CRP was basically normal. Although the results of mycoplasma antibodies and DNA were not reported, director Wu Xu, who has many years of experience, judged that Xiao Ming’s condition Severe pneumonia caused by Mycoplasma pneumoniae infection may require immediate hospitalization.
The family members followed the doctor's advice and went through the hospitalization procedures very cooperatively. After about a week of treatment, Xiao Ming's condition improved day by day.
since June
The number of children with mycoplasma pneumonia increased significantly
Respiratory ward of Nanjing Children's Hospital
There is also a case of full load operation
On the morning of August 14, the reporter came to the outpatient clinic of the Respiratory Department of Nanjing Children's Hospital. There was an endless stream of children who came to see the doctor, basically with symptoms such as cough and fever.
The doctor told reporters that the high incidence season of mycoplasma pneumonia is autumn and winter, and the last outbreak was in autumn and winter of 2018. This year is special, which may be related to the epidemic of the new crown virus in previous years.
"Maybe 60% to 70% of the children who need to be hospitalized in the ward have mycoplasma pneumonia. The exact reason is not very clear. Scholars at home and abroad believe that it may be related to the very low mycoplasma infection during the entire epidemic period and the decline in population immunity. Yes. After the epidemic control measures were changed, the first thing children experienced was influenza A, followed by syncytial virus, and then mycoplasma. Mycoplasma was different from influenza A and syncytial virus, and it lasted for a long time. Two or three months." said Liu Feng, Chief Physician of the Respiratory Department of Nanjing Children's Hospital.
Director Liu Feng told reporters that mycoplasma pneumonia infection is more common in children and adolescents of all ages, especially children over 5 years old and school-age children.
After mycoplasma pneumonia infection, the main symptoms are persistent fever, cough, wheezing, and rapid breathing.
Mycoplasma pneumonia treatment in children
Mainly macrolides
The total course of treatment is 10 to 14 days
Doctors reminded that anti-inflammatory drugs such as cephalosporins and penicillins are not effective in the treatment of mycoplasma pneumonia. The treatment of mycoplasma pneumonia in children is mainly based on macrolides, such as azithromycin, and the total course of treatment is about 10 to 14 days.
"Avoid close contact with sick children and children with symptoms and chronic cough. After school starts, September to October is the peak of the virus. Children must pay attention not to overwork and go to the hospital in time if they have symptoms." Liu Feng told reporters.
Early prevention and early treatment!
High incidence of respiratory diseases
Also pay attention to syncytial virus, new coronavirus
Mycoplasma pneumoniae is mainly transmitted through respiratory droplets. There is no vaccine for Mycoplasma pneumoniae. Therefore, prevention of infection should start with strengthening the body and maintaining good personal hygiene habits. Doctors reminded that during the period of high incidence of respiratory diseases, in addition to preventing mycoplasma pneumoniae, special attention should also be paid to syncytial virus and new coronavirus, early prevention and early intervention.
"If the child coughs very badly, and he is at the school age or preschool age, the possibility of mycoplasma is relatively high. Syncytial virus is also a very common virus. It is more common in young ages, and it is more common under the age of two. If the child coughs with wheezing At this time, there is a lot of syncytial virus. Compared with mycoplasma and syncytial virus, children's new crown is relatively mild, and most of them can be self-limited." Liu Feng, chief physician of the Department of Respiratory Medicine, Nanjing Children's Hospital, said.
The doctor reminded that when a child develops fever, cough and other symptoms that cannot be relieved for more than 3 days, it is recommended to go to the hospital for active treatment so as not to develop severe illness due to delay of the illness.
What is Mycoplasma pneumoniae?
Mycoplasma pneumoniae is a pathogenic organism between bacteria and viruses. It causes host cell swelling, necrosis, etc. by adhering to the respiratory epithelium, causing interstitial pneumonia, also known as mycoplasma pneumonia.
Mycoplasma is mainly transmitted through respiratory droplets and direct contact, and is more likely to occur in preschool and school-age children. All can fall ill all the year round, high incidence in autumn and winter in the north, high incidence in summer and autumn in the south.
What are the symptoms of Mycoplasma pneumoniae infection?
The most prominent manifestation of Mycoplasma pneumoniae infection is a relatively severe irritating dry cough, coughing day and night; fever is mostly low-grade fever, a small number of children have high fever, and persistent high fever often indicates serious illness; it may be accompanied by headache, runny nose, sore throat, ear Pain etc. If the child continues to have a high fever, severe cough, difficulty breathing, poor energy, difficulty eating, or even dehydration, seek medical attention as soon as possible.
In severe cases, serious consequences such as pneumonia, hepatitis, nephritis, myocarditis, and meningitis may also occur, and untimely treatment may be fatal.
The doctor reminds:
don't do this
"Mycoplasma is neither a bacterium nor a virus. It is a type of atypical microorganism with no cell wall, high pleomorphism, and a size between bacteria and viruses. For this reason, cephalosporins and penicillins inhibit bacteria by destroying the cell wall. Bacterial antibacterial drugs are ineffective against Mycoplasma pneumoniae, which has no cell wall.” Director Wu reminded parents not to treat Mycoplasma pneumonia as a common cold or flu. It will only delay the illness.
Director Wu introduced that at present, mycoplasma pneumonia can be diagnosed clinically by detecting mycoplasma pneumoniae antibody, mycoplasma DNA and mycoplasma RNA combined with chest X-ray or lung CT. The treatment of mycoplasma pneumonia in children is mainly based on macrolide drugs, such as azithromycin, and the total course of treatment is about 10-14 days.
How to prevent Mycoplasma pneumoniae infection?
To prevent Mycoplasma pneumoniae infection, you can start from the following points: pay attention to indoor ventilation, try to avoid public places with dense crowds and poor ventilation during the epidemic season; Pay attention to indoor ventilation; when sneezing, cover it with your sleeve or elbow instead of directly covering it with your hands.
Original title: "This disease strikes ahead of time! The high fever does not go away, and the child is frequently recruited...》
source: zhttps://www.thepaper.cn/newsDetail_forward_24248890