作者: Bharat Bajantri , Omesh Toolsie , Sindhaghatta Venkatram , Gilda Diaz-Fuentes
DOI: 10.14740/JOCMR3592W
关键词: Mycoplasma pneumoniae 、 Internal medicine 、 Intensive care unit 、 Disease Presentation 、 Creatinine 、 Medicine 、 Mechanical ventilation 、 Pneumonia 、 Blood urea nitrogen 、 Atypical pneumonia
摘要: Background: Mycoplasma pneumoniae pneumonia (MPP), or “walking pneumonia,” is an atypical mild disease with varied clinical findings. Specifically, diagnosis often controversial and understanding of presentation limited. The goal the study was to evaluate presentation, associations outcomes MPP patients admitted inner-city hospital. Methods: This a retrospective analysis adult diagnosed from January 2010 2017. Primary were need for intensive care unit (ICU) care, ICU hospital length stay (LOS), presence shock mechanical ventilation (MV). Predictors mortality analyzed. Results: Of 203 analyzed, 16 (8%) died. Relative survivors, non-survivors older (65 ± 21 versus 53 18, P = 0.009) less frequently had obstructive airway (OAD; 0.003). Non-survivors also significantly higher serum levels lactic dehydrogenase (LDH), blood urea nitrogen (BUN), creatinine, transaminases troponins. Finally, more commonly exhibited shock, MV bilateral lung infiltrates. There no group differences in patient comorbidities, symptoms, antibiotic use LOS. included age, OAD, low CD4 + T-cell counts human immunodeficiency virus-infected elevated LDH, BUN, leukocytes, Conclusion: Despite availability appropriate antibiotics, incurs significant morbidity. Our indicated that recommended treatment includes prompt serological diagnosis, aggressive supportive presumptive especially poor prognosis. J Clin Med Res. 2018;10(12):891-897 doi: https://doi.org/10.14740/jocmr3592w