PDF(Pubmed)
Abstract：
In recent years, there has been an increase in the number of patients diagnosed with pediatric diseases who have severe Mycoplasma pneumoniae (MP) pneumonia, and there has also been an increased attention to serious extrapulmonary complications. However, cases with abdominal pain, acute abdomen, scrotal swelling and pain, and fever as the primary symptoms have been rarely reported.
A 3-years-and-8-months-old male patient diagnosed with pediatric disease was reported with abdominal pain, scrotal swelling and pain, and fever as the primary symptoms in the present study. No respiratory symptoms were observed throughout the disease. Through computed tomography (CT) scanning, the patient was diagnosed with severe MP pneumonia based on the symptoms of abdominal pain and fever, as well as pulmonary infection, pleural effusion, and retroperitoneal exudation. Laboratory tests supported the diagnosis of MP infection, and the diagnosis was confirmed by severe MP pneumonia. The therapeutic effects of azithromycin were poor, and the symptoms were quickly alleviated with the addition of gamma globulin and methylprednisolone. After discharge, azithromycin sequential therapy was administered. The chest CT was normal at the follow-up 1-month later.
Severe MP pneumonia in patients with pediatric diseases may include abdominal pain, scrotal swelling and pain, and fever as the primary symptoms. Care should be taken to avoid missed diagnoses and misdiagnoses in clinical practice.
A 3-years-and-8-months-old male patient diagnosed with pediatric disease was reported with abdominal pain, scrotal swelling and pain, and fever as the primary symptoms in the present study. No respiratory symptoms were observed throughout the disease. Through computed tomography (CT) scanning, the patient was diagnosed with severe MP pneumonia based on the symptoms of abdominal pain and fever, as well as pulmonary infection, pleural effusion, and retroperitoneal exudation. Laboratory tests supported the diagnosis of MP infection, and the diagnosis was confirmed by severe MP pneumonia. The therapeutic effects of azithromycin were poor, and the symptoms were quickly alleviated with the addition of gamma globulin and methylprednisolone. After discharge, azithromycin sequential therapy was administered. The chest CT was normal at the follow-up 1-month later.
Severe MP pneumonia in patients with pediatric diseases may include abdominal pain, scrotal swelling and pain, and fever as the primary symptoms. Care should be taken to avoid missed diagnoses and misdiagnoses in clinical practice.
摘要：
近年来,诊断患有严重肺炎支原体（MP）肺炎的儿科疾病的患者数量有所增加，对严重的肺外并发症的关注也越来越多。然而,有腹痛的病例，急腹症,阴囊肿胀和疼痛，以发热为主要症状的报道很少。
据报道，一名3岁8个月大的男性患者被诊断为儿科疾病，患有腹痛，阴囊肿胀和疼痛，和发烧是本研究的主要症状。在整个疾病中未观察到呼吸道症状。通过计算机断层扫描(CT)扫描,根据腹痛和发烧的症状，患者被诊断为严重的MP肺炎，以及肺部感染，胸腔积液,和腹膜后渗出.实验室检查支持MP感染的诊断，诊断为重症MP肺炎。阿奇霉素的治疗效果较差，加用丙种球蛋白和甲基强的松龙，症状迅速缓解。放电后,给予阿奇霉素序贯治疗。1个月后随访胸部CT正常。
儿科疾病患者的严重MP肺炎可能包括腹痛，阴囊肿胀和疼痛，发烧是主要症状。在临床实践中应注意避免漏诊和误诊。
据报道，一名3岁8个月大的男性患者被诊断为儿科疾病，患有腹痛，阴囊肿胀和疼痛，和发烧是本研究的主要症状。在整个疾病中未观察到呼吸道症状。通过计算机断层扫描(CT)扫描,根据腹痛和发烧的症状，患者被诊断为严重的MP肺炎，以及肺部感染，胸腔积液,和腹膜后渗出.实验室检查支持MP感染的诊断，诊断为重症MP肺炎。阿奇霉素的治疗效果较差，加用丙种球蛋白和甲基强的松龙，症状迅速缓解。放电后,给予阿奇霉素序贯治疗。1个月后随访胸部CT正常。
儿科疾病患者的严重MP肺炎可能包括腹痛，阴囊肿胀和疼痛，发烧是主要症状。在临床实践中应注意避免漏诊和误诊。
