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Necrotizing Pneumonitis Caused by Mycoplasma pneumoniae in Pediatric Patients: Report of Five Cases and Review of Literature

Wang, Ruay-Shyang MD; Wang, Shuo-Yu MD*; Hsieh, Kai-Sheng MD*; Chiou, Yee-Hsuan MD*; Huang, I-Fei MD*; Cheng, Ming-Feng MD*; Chiou, Christine C. MD

The Pediatric Infectious Disease Journal: June 2004 - Volume 23 - Issue 6 - p 564-567
doi: 10.1097/01.inf.0000130074.56368.4b
Instructive Cases

Mycoplasma pneumoniae infection is usually self-limited without severe sequelae. We report 5 pediatric patients with necrotizing pneumonitis caused by Mycoplasma pneumoniae and reviewed the reported cases in the English language. Protracted course of fever and respiratory distress were noted in all 5 patients. Macrolides and adequate chest tube drainage for pleural effusion were the mainstay of treatment.

From the *Department of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; the †Department of Pediatrics, Yungkang Veterans Hospital, Tainan, Taiwan; and the ‡Department of Pediatrics, National Yang-Ming University, Taipei, Taiwan

Accepted for publication January 6, 2004.

Address for reprints: Christine C. Chiou, MD, Department of Pediatrics, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Rd, Kaohsiung 813, Taiwan. Fax 886-7-3468207; E-mail

© 2004 Lippincott Williams & Wilkins, Inc.