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China - Mycoplasma pneumonia has occurred frequently in southern Fujian province since beginning of summer. Hard to find a pediatric bed. - June 30, 2

sharon sanders

Editor-in-Chief & President
Be wary of mycoplasma pneumonia in children with persistent high fever

Quanzhou Net 2023-06-30 08:54Quanzhou official account
focus o

guide doctor


Zheng Jingyang, Director of the Department of Respiratory Medicine, Quanzhou Maternal and Child Health Hospital Children's Hospital


Quanzhou Net, June 30th (Reporter Xu Yimei, intern Yao Ruoxin) The high fever persisted, the body temperature once soared to 40°C, and she kept coughing, taking medicine by herself did not help... The reporter learned from Quanzhou Children's Hospital that there were some cases in the outpatient clinic recently. Many preschool and school-age children have these symptoms. At first, many parents thought that the child was "positive" or had a cold. After investigation, it turned out that they were infected with mycoplasma pneumonia. Delay in treatment may lead to bronchitis obliterans, atelectasis and other sequelae.


Boy with persistent high fever and cough


Filming found suspected "white lung"


A few days ago, Xiaobin (pseudonym), a 5-year-old boy in Quanzhou, suddenly had a high fever of 40°C. His family took him to a nearby clinic overnight to prescribe medicine. The family thought that Xiaobin might have "two yangs", but every time the antipyretics wore off, the child's body temperature would rise to above 39°C, accompanied by a cough, and thick phlegm would be coughed up from time to time. The family felt that something was wrong, and hurriedly took the child to the hospital for examination.


Through the chest CT examination, the doctor found that Xiaobin had developed a lung infection, accompanied by atelectasis, and there were obvious white flake shadows in the lungs on the CT film, and he needed to be hospitalized immediately.


After being hospitalized, because Xiaobin’s lung disease was serious, he had been having a high fever, persistent cough, phlegm clogging, and large white shadows in his lungs. Leading to airway damage and obstruction, and even difficulty breathing, doctors recommend that parents implement bronchoscopy diagnosis and treatment.


Through bronchoscopic surgery and anti-infection treatment, Xiaobin's condition improved significantly, and he was cured and discharged a week later. Through pathogen detection and blood test, Xiaobin was diagnosed as pneumonia caused by Mycoplasma pneumoniae.


Frequent lung infections in summer


Mycoplasma pneumoniae has an incubation period


"Mycoplasma pneumoniae pneumonia accounts for the vast majority of patients who have been hospitalized due to pneumonia in the Department of Respiratory Medicine recently." Zheng Jingyang introduced that this is a lung infection caused by Mycoplasma pneumoniae. It has frequently occurred in southern Fujian since the beginning of summer. The hot weather has increased the number of sick children, and it is difficult to find a bed in hospital wards.


The main pathogens of severe pneumonia in children are bacteria, viruses and atypical. In my country, bacteria are mainly Streptococcus pneumoniae, Haemophilus influenzae, Staphylococcus aureus, etc. Viruses are mainly respiratory syncytial virus, adenovirus, and influenza virus, while Mycoplasma pneumoniae is a common atypical pathogen.


"Mycoplasma pneumoniae is relatively unfamiliar to the general public. It is a pathogenic microorganism that is smaller than bacteria and larger than viruses." Zheng Jingyang said that Mycoplasma pneumoniae is mainly transmitted through contact, such as close contact with people infected with Mycoplasma pneumoniae. Inhalation of pathogens in droplets, contact with tableware, clothing, toys, etc. used by infected people. The disease is more common in preschool children, preschool children, and adults can also be infected. The incubation period of Mycoplasma pneumoniae is 1 to 3 weeks, and it is contagious within several weeks from the incubation period to the remission of symptoms. Respiratory tract infections caused by Mycoplasma pneumoniae include nasopharyngitis, tonsillitis, tracheobronchitis, and pneumonia. Severe lung infections require continuous, targeted antibiotic therapy.


Prolonged delay will leave sequelae


Pay attention to high fever and persistent cough


Zheng Jingyang said that if mycoplasma pneumonia is not treated in time, atelectasis, bronchiectasis, decreased lung function, and repeated infection of the diseased lungs may occur. Difficulty, shortness of breath, cough, chest pain and other symptoms. Mycoplasma pneumoniae infection may also cause systemic complications involving the digestive system and nervous system.


Children, the elderly, and people with low immunity who are prone to infection with Mycoplasma pneumoniae should pay attention to maintaining good hygiene habits, wash hands frequently, avoid contact with patients as much as possible, maintain indoor air circulation, exercise more, eat a reasonable diet, avoid staying up late, enhance immunity, and avoid contact with Source of infection.


Zheng Jingyang reminded that the typical manifestations of mycoplasma pneumonia are similar to the symptoms of the common cold. If the child has a high fever for more than 3 days, severe cough, and persistent sputum, it is necessary to go to the hospital in time to find out the cause of the disease, so as not to delay the illness. Commonly used peripheral blood (fingertip) blood routine and C-reactive protein (referring to some proteins in the plasma that rise sharply when the body is infected or tissue damaged) examination can indicate serious infection. Chest CT is required if necessary. Etiological examination can Determine whether Mycoplasma pneumoniae infection.


​source: zhttps://baijiahao.baidu.com/s?id=1770087044098615846&wfr=spider&for=pc
 
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