Acute respiratory distress syndrome caused by Mycoplasma pneumoniae without elevated pulmonary vascular permeability: a case report

被引:0
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作者
Takahashi, Naoki [1 ]
Shinohara, Tsutomu [2 ]
Oi, Rie [3 ]
Ota, Muneyuki [3 ]
Toriumi, Shinichi [3 ]
Ogushi, Fumitaka [1 ]
机构
[1] Kochi Hosp, Div Pulm Med, Natl Hosp Org, Kochi 7808077, Japan
[2] Kochi Hosp, Dept Clin Invest, Natl Hosp Org, 1-2-25 Asakuranishimachi, Kochi 7808077, Japan
[3] Kochi Hosp, Dept Anesthesiol, Natl Hosp Org, Kochi 7808077, Japan
关键词
Mycoplasma pneumoniae; acute respiratory distress syndrome (ARDS); transpulmonary thermodilution technique; pulmonary vascular permeability index (PVPI); corticosteroid treatment; ACUTE LUNG INJURY; RECONSTITUTION INFLAMMATORY SYNDROME; CLINICAL-FEATURES; BERLIN DEFINITION; RISK-FACTORS; INFECTIONS; PATHOGENESIS; ADULTS; METHYLPREDNISOLONE; CORTICOSTEROIDS;
D O I
暂无
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Sporadic patients with acute respiratory distress syndrome (ARDS) caused by Mycoplasma pneumoniae have been reported. However, knowledge about the pathophysiology and pharmacological treatment of this condition is insufficient. Moreover, the pulmonary vascular permeability in ARDS related to M. pneumoniae infection has not been reported. We report a case of ARDS caused by Mycoplasma pneumoniae without elevated pulmonary vascular permeability, which was successfully treated using low-dose short-term hydrocortisone, suggesting that pulmonary infiltration in ARDS caused by Mycoplasma pneumoniae does not match the criteria of permeability edema observed in typical ARDS.
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收藏
页码:E319 / E324
页数:6
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