Cavitatory necrotising pneumonia with extrapulmonary multi-systemic involvement — a rare presentation of macrolide-resistant Mycoplasma pneumoniae
نویسندگان
چکیده
Abstract Background Mycoplasma pneumoniae is one of the leading causes community-acquired pneumonia. Due to its microbiological variation, clinical presentations mycoplasma infections are atypical and diverse. Multiple pulmonary extrapulmonary manifestations have been documented. Among pulmonary, common fever, malaise, lymphadenopathy, pneumonia, upper respiratory tract infections, sinusitis, etc. Necrotising pneumonia cavitation as a manifestation rather an uncommon presentation. Case presentation We reporting rare case 5-year-old female child who presented with bilateral haemorrhagic pleural effusion necrotising along in form maculo-papular rash, Coombs-positive haemolytic anaemia serositis. The was started on azithromycin symptomatic management, but she did not respond it; had worsening evidence radiological treated macrolide-resistant levofloxacin, steroids rigorous physiotherapy. Conclusions Accurate acumen timely imaging need hour for early diagnosis (MRMP). This also emphasises role fluoroquinolones treatment
منابع مشابه
Macrolide-resistant Mycoplasma pneumoniae in paediatric pneumonia.
Mycoplasma pneumoniae is one of the most common causes of bacterial community-acquired pneumonia (CAP) in paediatrics, and can lead to severe and long-lasting disease [1]. Macrolides are usually considered the first-choice antimicrobials for M. pneumoniae CAP in children because the alternatives (i.e. fluoroquinolones and tetracyclines) are not approved for use in the first years of life [2]. R...
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ژورنال
عنوان ژورنال: The Egyptian Journal of Internal Medicine
سال: 2023
ISSN: ['1110-7782', '2090-9098']
DOI: https://doi.org/10.1186/s43162-023-00205-4