Severe acute lung injury caused by Mycoplasma pneumoniae:: Potential role for steroid pulses in treatment

被引:68
作者
Radisic, M
Torn, A
Gutierrez, P
Defranchi, HA
Pardo, P
机构
[1] Sanitorio Trinidad, Dept Internal Med, RA-1425 Buenos Aires, DF, Argentina
[2] Sanitorio Trinidad, Intens Care Unit, RA-1425 Buenos Aires, DF, Argentina
[3] Sanitorio Trinidad, Resp Dis Unit, RA-1425 Buenos Aires, DF, Argentina
关键词
D O I
10.1086/317498
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Published evidence of pathogenetic mechanisms of acute respiratory distress syndrome (ARDS) in mycoplasmal lung infections suggests that the pulmonary injury is related to a cell-mediated immune response. Therefore, steroids may play a role in the treatment of severe cases. We describe a patient who had Mycoplasma pneumoniae pneumonia that progressed to severe ARDS requiring mechanical ventilation and who had improvement with prednisolone pulses.
引用
收藏
页码:1507 / 1511
页数:5
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