Macrolide 불응성 마이코플라즈마 폐렴과 적혈구포식림프조직구증: 증례보고와 문헌고찰

Mycoplasma pneumoniae causes various extra-pulmonary complications. As a rare but fatal hematological complication, hemophagocytic lymphohistiocytosis (HLH) can be observed in children with M. pneumoniae infection. We report a case of a 6-year-old girl with HLH who was initially presumed to have mac...

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Bibliographic Details
Published in:	Taehan Soa Ŭnggup Ŭhakhoe chi pp. 145 - 150
Main Authors:	마성연, 김단비, 이주영, 조경순, 서진순, 이수영
Format:	Journal Article
Language:	Korean
Published:	대한소아응급의학회 01-12-2020
Subjects:	소아과학
Online Access:	Get full text
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Summary:	Mycoplasma pneumoniae causes various extra-pulmonary complications. As a rare but fatal hematological complication, hemophagocytic lymphohistiocytosis (HLH) can be observed in children with M. pneumoniae infection. We report a case of a 6-year-old girl with HLH who was initially presumed to have macrolide-refractory M. pneumoniae pneumonia. Despite the combination treatment of antimicrobial and anti-inflammatory agents, she showed persistent fever, hepatosplenomegaly, and thrombocytopenia. Secondary HLH associated with M. pneumoniae should be considered if unexplained clinical deterioration is noted in children with macrolide-refractory M. pneumoniae pneumonia. KCI Citation Count: 0
ISSN:	2383-4897 2508-5506