Clinical Analysis and Risk Factors of Bronchiolitis Obliterans After Mycoplasma Pneumoniae Pneumonia.

bronchiolitis obliterans children mycoplasma pneumoniae pneumonia post-infectious bronchiolitis obliterans risk factors

Journal

Infection and drug resistance
ISSN: 1178-6973
Titre abrégé: Infect Drug Resist
Pays: New Zealand
ID NLM: 101550216

Informations de publication

Date de publication:
2022
Historique:
received: 30 04 2022
accepted: 12 07 2022
entrez: 4 8 2022
pubmed: 5 8 2022
medline: 5 8 2022
Statut: epublish

Résumé

Severe mycoplasma pneumoniae (MP) pneumonia can cause bronchiolitis obliterans (BO). In order to improve the prognosis of BO, it is necessary to grasp the clinical characteristics and risk factors of BO after severe MP pneumonia and intervene as soon as possible. This study retrospectively analyzed the clinical data of 110 patients with severe MP pneumonia, and divided them into BO group (22 cases) and non-BO group (88 cases). The clinical characteristics of BO group were analyzed, and the clinical data of two groups were compared to identify the risk factors of BO. At the time of diagnosis, all BO patients had symptoms of cough and wheezing, and 10 (45.45%) had decreased exercise intolerance. Lung function showed moderate to severe obstructive ventilatory dysfunction, high-resolution computed tomography (HRCT) showed mosaic perfusion patterns. Multivariate binomial regression analysis showed that higher levels of serum lactate dehydrogenase (LDH) and hypoxemia were independent risk factors for BO after severe MP pneumonia. Higher levels of serum LDH and hypoxemia were independent risk factors for BO after severe MP pneumonia. For patients with risk factors, clinicians should regular follow-up for early diagnosis and intervention of BO.

Identifiants

pubmed: 35924019
doi: 10.2147/IDR.S372940
pii: 372940
pmc: PMC9343175
doi:

Types de publication

Journal Article

Langues

eng

Pagination

4101-4108

Informations de copyright

© 2022 Zheng et al.

Déclaration de conflit d'intérêts

The authors have no relevant financial or non-financial interests to disclose.

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Auteurs

Hao-Qi Zheng (HQ)

Department of Pediatrics, The First Hospital of Jilin University, Changchun, 130021, People's Republic of China.

Yu-Cong Ma (YC)

Department of Pediatrics, The First Hospital of Jilin University, Changchun, 130021, People's Republic of China.

Yu-Quan Chen (YQ)

Institute of Medical Information/Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100020, People's Republic of China.

Yan-Yue Xu (YY)

Department of Pediatrics, The First Hospital of Jilin University, Changchun, 130021, People's Republic of China.

Yan-Lin Pang (YL)

Department of Pediatrics, The First Hospital of Jilin University, Changchun, 130021, People's Republic of China.

Li Liu (L)

Department of Pediatrics, The First Hospital of Jilin University, Changchun, 130021, People's Republic of China.

Classifications MeSH