A study on infectious mononucleosis with mycoplasma pneumoniae

ZHONG Jiarong; et al

doi:10.13406/j.cnki.cyxb.2004.06.049

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A study on infectious mononucleosis with mycoplasma pneumoniae

更新时间：2024-01-17

- A study on infectious mononucleosis with mycoplasma pneumoniae
- Journal of Chongqing Medical University Issue 6, Pages: 853-854(2004)
- 作者机构：
  
  1. 重庆医科大学儿科学院内科
  2. 重庆医科大学儿科学院内科,重庆,400014
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.06.049
  CLC： R725.1
- Published：2004，
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[1]钟家蓉,王燕,周勤,田杰.肺炎支原体感染并发传染性单核细胞增多症5例临床分析[J].重庆医科大学学报,2004(06):853-854.

ZHONG Jiarong, et al. A study on infectious mononucleosis with mycoplasma pneumoniae. [J]. Journal of Chongqing Medical University (6):853-854(2004)
[1]钟家蓉,王燕,周勤,田杰.肺炎支原体感染并发传染性单核细胞增多症5例临床分析[J].重庆医科大学学报,2004(06):853-854. DOI： 10.13406/j.cnki.cyxb.2004.06.049.

ZHONG Jiarong, et al. A study on infectious mononucleosis with mycoplasma pneumoniae. [J]. Journal of Chongqing Medical University (6):853-854(2004) DOI： 10.13406/j.cnki.cyxb.2004.06.049.

摘要

目的 :探讨小儿肺炎支原体（MP）感染并发传染性单核细胞增多症（传单）的临床特征。方法 :对ELISA方法检测EB病毒（EBV）、巨细胞病毒（CMV）、疱疹病毒（HHV）等IgM和PCR检测EBV -DNA均阴性

而MP -IgM和PCR检测MP -DNA均阳性的 5例传单患儿病历资料进行回顾性分析。结果 :5例均有发热、淋巴结肿大、咽峡炎、肝肿大

脾肿大 2例

咳嗽5例

鼻塞、眼睑浮肿 2例

腮腺肿大、皮疹 1例

肺部炎症、心肌损害 2例。 4例仅用阿奇霉素

1例仅用红霉素治疗 2周痊愈。结论 :MP感染可并发传染性单核细胞增多症

临床特征主要为不规则发热、淋巴结肿大、咽峡炎、肝脾肿大

阿奇霉素及红霉素治疗效果好。

Abstract

Objective:To study the clinical features of infectious mononucleosis synsdrome due to mycoplasma pneumoniae in children.Methods:5 children with MP-IgM(+)

PCR MP-DNA(+)

EBV-IgM(-)

CMV-IgM(-)

HHV-IgM(-)

EBV-DNA(-) were analyzed.All patients were diagnosed as infectious mononucleosis due to mycoplasma pneumoniae.Results:All the patients(100%) had fever

enlarged lymph nodes

angina and liver tumefaction.2 cases had spleen tumefaction;5 case had cough;2 cases had nasal obstruction and swollen blepharon;1 case had enlarged parotid gland and skin eruption

and 2 cases had pneumonia and myocarditis.4 cases were cured with azithromycin

and 1 case were cured with abomacetin for 2 weeks.Conclusion:Mycoplasma pneumoniae can lead to infectious mononucleosis syndrome.The main clinical features include irregular fever

angina

enlarged lymph nodes and hepatosplenomegaly.Azithromycin and abomacetin are effective for therapy.

关键词

肺炎支原体传染性单核细胞增多症

Keywords

Mycoplasma pneumoniaeinfectious mononucleosis

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Related Institution

Department of Respiratory Medicine,the Children’s Hospital,Chongqing Medical University

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