Pneumonia in children and young adults is a daily challenge to the physicians and radiologists. Indeed, the greatest difficulty is to recognize the etiologic agent responsible for pneumonia as soon as possible, so that a proper treatment could be started. A chest X-ray is commonly required in the suspicion of pneumonia. The aim of this study was to determine whether mycoplasmal pneumoniae infection in children is associated with specific radiographic patterns. The chest X-ray of 82 subjects (aged 4.5-16.6 yr) with radiographic diagnosis of pneumonia were reviewed. All subjects had been tested twice for serologic antimycoplasma antibodies. 41 (50%) subjects, with significant increase of antimycoplasma antibody levels, were diagnosed as having mycoplasmal infection. Among the remaining 41 children, viral (24 pts., 29%), bacterial (14 pts., 17%) and mixed (3 pts., 4%) infections were assessed clinically and on the basis of laboratory results. Parahilar peribronchial infiltrates were found in viral and mycoplasmal infections, whereas segmental or lobar consolidation in bacterial, viral and mycoplasmal infections. The reticulo-nodular infiltrate was a specific pattern of mycoplasma pneumoniae infection. The authors conclude that a reticulo-nodular infiltrate localized to a lobe strongly suggests the mycoplasmal pneumonia.
|Translated title of the contribution||Mycoplasma pneumonia in childhood: Is the roentgenographic diagnosis possible?|
|Number of pages||7|
|Journal||Rivista Italiana di Pediatria|
|Publication status||Published - Feb 1996|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health