medigraphic.com
ISSN 1727-897X (Electronic)

2021, Number 4

<< Back Next >>

Medisur 2021; 19 (4)

Clinical and Imaging Characteristics of a Patient With Community-Acquired Mycoplasma pneumoniae Pneumonia

Valladares VM, Fonseca FTA, García DAJ, Rodríguez PMY

Language: Spanish
References: 18
Page: 656-662
PDF size: 231.37 Kb.


ABSTRACT

Mycoplasma pneumoniae is a frequent cause of upper and lower respiratory tract infections in children and young adults, accounting for up to 40% of community-acquired pneumonia cases. The diagnosis of community-acquired pneumonia is primarily clinical. Chest radiography is the gold standard for confirmation, but it is not routinely recommended. In severe cases, tomographic imaging is necessary. The objective of this work is to present the case of a patient with pneumonia caused by Mycoplasma pneumoniae acquired in the community who was treated at the Hospital de Cienfuegos. This is a 51-year-old man of white skin color, of urban origin, without toxic habits, with a personal pathological history of arterial hypertension for three years, with regular treatment; Type 2 diabetes mellitus, with glycemic control through diet, in addition to a referred history of venous insufficiency, which was admitted to the hospital for the diagnosis of atypical pneumonia. It progressed towards severity, but the proper use and interpretation of the clinical and imaging elements allowed the diagnosis of community-acquired pneumonia due to Mycoplasma pneumoniae to be reached. Adequate medical care and recovery of the patient was achieved.


REFERENCES

  1. Hopp E, Martínez LC, Díaz M, Vásquez Quintero A, Domínguez M, Di Girolamo C, Carreiro M. Neumonía por Mycoplasma pneumoniae complicada con pancreatitis y hepatitis aguda. Revista Gastroenterología Nacional. 2013;67(2):106-11.

  2. Parra W. Neumonías atípicas. Neumol Pediatr. 2013;8:74-8.

  3. Sepúlveda A, Castet A, Bertrand P. Neumonía por bacterias atípicas: Mycoplasma y Chlamydia pneumoniae ¿Qué elementos tenemos para hacer un diagnóstico adecuado y decidir cuándo tratar?. Neumol Pediatr. 2015;10(3):118-23.

  4. Murdoch D, Chambers S. Atypical pneumonia-time to breathe new life into a unuseful term? Lancet Infect Dis. 2009;9:512-19.

  5. Wolf J, Daley A. Microbiological aspects of bacterial respiratory tract ilness in children: atypical patogens. Paediatr Respir Rev. 2007;8:212-20.

  6. Vega JM, Rodríguez Pascual AC. Neumonía[Internet]. Lima: Universidad Privada San Juan Bautista, 2018[citado 6/3/2020]. Disponible en: Disponible en: https://www.studocu.com/pe/document/universidad-privada-san-juan-bautista/semiologia/resumenes/resumen-de-neumonia/8172095/view

  7. Acuña H, Auchter M, Medina O. Características sociodemográficas y clínicas del adulto mayor con neumonía asistidos en el servicio de clínica médica del Hospital Geriátrico de Agudos "Juana F. Cabral". Revista de Salud Pública. 2018;XXII:54-61. 8.-Luengo Márquez C, Maicas Martínez L, Navarro González J, Romero Rizos L. Justificación, concepto e importancia de los síndromes geriátricos. En: Tratado de Geriatría para residentes. Madrid: International Marketing &Communication, S.A; 2006. p. 143-50.

  8. -Luengo Márquez C, Maicas Martínez L, Navarro González J, Romero Rizos L. Justificación, concepto e importancia de los síndromes geriátricos. En: Tratado de Geriatría para residentes. Madrid: International Marketing &Communication, S.A; 2006. p. 143-50.

  9. Rodríguez-Pecci MS, Carlson D, Montero-Tinnirello J, Parodi RL, Montero A, Greca Alcides A. Estado nutricional y mortalidad en neumonía de la comunidad. Medicina (B. Aires). 2010;70(2):120-6.

  10. Jiménez Sanz M, Sola Villafranca JM, Pérez Ruiz C, Turienzo Llata MJ, Larrañaga Lavin G, Mancebo Santamaría MA, et al. Estudio del estado nutricional de los ancianos de Cantabria. Nutr Hosp. 2011;26(2):345-54.

  11. Harris M, Clark J, Coote N. British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011. Thorax. 2011;66 Suppl 2:1-23.

  12. Úbeda Sansano MI, Murcia García J. Neumonía adquirida en la comunidad. Algoritmo[Internet]. 2018[citado 5/3/2020];36[aprox. 10 p.]. Disponible en: https://algoritmos.aepap.org/algoritmo/36/neumonia-adquirida-en-la-comunidad

  13. Waites K. New concepts of Mycoplasma infection in children. Pediatr Pulmonol. 2003;36:267-78.

  14. Paul M, Vega-Briceño L, Potin M, Ferrés M, Pulgar D, García C. Características clínicas de la enfermedad respiratoria causada por Mycoplasma pneumoniae en niños hospitalizados. Rev Chil Infect. 2009;26:343-9.

  15. Wang K, Gill P, Perera R, Thomson A, Mant D, Harnden A. Clinical symptoms and signs for the diagnosis of Mycoplasma pneumoniae in children and adolescent with community acquired pneumoniae. Cochrane Database Syst Rev. 2012;10:34-9 16.-Saldias Peñafiel F, Gassmann Poniachik J, Canelo López A, Díaz Patiño O. Características clínicas de la neumonía adquirida en la comunidad del adulto inmunocompetente hospitalizado según el agente causal. Rev Méd Chile. 2018;146(12):34-9

  16. -Saldias Peñafiel F, Gassmann Poniachik J, Canelo López A, Díaz Patiño O. Características clínicas de la neumonía adquirida en la comunidad del adulto inmunocompetente hospitalizado según el agente causal. Rev Méd Chile. 2018;146(12):34-9

  17. Loens K, Goossens H, Ieven M. Acute respiratory infection due to Mycoplasma pneumoniae: current status of diagnostic methods. Eur J Clin Microbiol Infect Dis. 2010;29:1055-69.

  18. Chang H, Chan L, Shao P, Lee P, Chen J, Lee C, et al. Comparison of real-time polymerase chain reaction and serological test for the confirmation of Mycoplasma penumoniae infection in children with clinical diagnosis of atypical pneumonia. J Microbiol, Immunol Infect. 2014;47:137-44.




2020     |     www.medigraphic.com