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Clinical features, risk factors and treatment of fulminant Mycoplasma pneumoniae pneumonia: A review of the Japanese literature
http://hdl.handle.net/10069/34972
http://hdl.handle.net/10069/3497258d4b46a-52db-455a-aef3-800fb1c89d0d
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
JIC20_181.pdf (284.7 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2014-12-25 | |||||
| タイトル | ||||||
| タイトル | Clinical features, risk factors and treatment of fulminant Mycoplasma pneumoniae pneumonia: A review of the Japanese literature | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Fulminant pneumonia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Mycoplasma pneumoniae | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Steroids | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Izumikawa, Koichi
× Izumikawa, Koichi× Izumikawa, Kinichi× Takazono, Takahiro× Kosai, Kosuke× Morinaga, Yoshitomo× Nakamura, Shigeki× Kurihara, Shintaro× Imamura, Yoshifumi× Miyazaki, Taiga× Tsukamoto, Misuzu× Yanagihara, Katsunori× Hara, Kohei× Kohno, Shigeru |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Mycoplasma pneumoniae (MP) is one of the most common causes of community-acquired pneumonia in children and young adults. Although MP sometimes causes self-limiting pneumonia, severe and fulminant cases with hypoxia occur, but their clinical features have rarely been reported. This study aimed to reveal the clinical manifestations, risk factors, and treatment of fulminant MP pneumonia (MPP). Using PubMed and abstracts from the proceedings of several domestic Japanese academic societies, we reviewed the Japanese and English literature for cases of fulminant or severe MPP reported in Japan. All clinical information such as sex, age, underlying diseases, clinical symptoms, clinical course, laboratory and radiological findings, and treatment was collected and analyzed. In total, 52 fulminant MPP cases were reported between September, 1979 and February, 2010. The dominant population of fulminant MPP was young adults without severe underlying diseases. Cough (97.3%), fever (100.0%), and dyspnea (83.3%) with diffuse abnormal findings in radiological examinations were noted. Antibiotics without antimycoplasmal activity were used in 32 cases (61.5%) as initial treatment prior to the onset of hypoxia. Anti-mycoplasmal drugs were appropriately used in 41 cases (78.8%) after onset of respiratory failure with steroids (23 cases, 45.1%) and effective. The majority of patients improved within 3-5 days after steroid administration. There were only 2 fatal cases. Although this small retrospective study did not reveal the apparent risk factors of fulminant MPP, initial inappropriate use of antibiotics may be a risk factor, and early administration of appropriate anti-mycoplasmal drugs with steroids as a cellular immune suppressor is required. | |||||
| 書誌情報 |
Journal of Infection and Chemotherapy 巻 20, 号 3, p. 181-185, 発行日 2014-03 |
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| 出版者 | ||||||
| 出版者 | 日本化学療法学会・日本感染症学会 | |||||
| 出版者別言語 | ||||||
| 値 | Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1341321X | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.1016/j.jiac.2013.09.009 | |||||
| 権利 | ||||||
| 権利情報 | c 2013, Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. | |||||
| 権利 | ||||||
| 権利情報 | NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Infection and Chemotherapy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Infection and Chemotherapy, 20, 3, (2014) | |||||
| 著者版フラグ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal of Infection and Chemotherapy, 20(3), pp.181-185; 2014 | |||||
