84 of the children had a chest x-ray taken, and there were positive radiological findings in 94 of these. Extra-pulmonary symptoms were common and presented as nausea/vomiting by 33 of the children and skin manifestations by 25. pneumoniae pneumonia are often difficult to recognize on radiography but can usually be seen on high-resolution CT. The clinical presentation was a cough, asthma-like symptoms and low-grade fever. The lobular distribution, centrilobular involvement, and interstitial abnormalities in M. Thickening of the bronchovascular bundles was identified more commonly on CT (23 of 28 patients, 82%) than on radiography (five patients, 18%) (p < 0.01, chi-square test). In 24 (86%) of the 28 patients, the nodules had a predominantly centrilobular distribution on CT. Nodules were seen more commonly on high-resolution CT (25 of 28 patients, 89%) than on radiography (14 patients, 50%) (p < 0.01, chi-square test). In 13 patients (59%), the areas of consolidation had a lobular distribution evident on CT. On high-resolution CT, areas of ground-glass attenuation were seen in 24 patients (86%) and air-space consolidation in 22 (79%). The most common finding on radiography was the presence of air-space opacification (n = 24), which was patchy and segmental (n = 9) or nonsegmental (n = 15) in distribution. The radiographs and CT scans were analyzed independently by two observers. pneumoniae pneumonia were retrospectively reviewed. ![]() The chest radiographs and 1.5-mm collimation CT scans obtained in 28 patients with serologically proven M. All rights reserved.The aim of the study was to compare the radiographic and the high-resolution CT findings of Mycoplasma pneumoniae pneumonia. A mosaic pattern occurred in allergic and young individuals, with wheezing as the main manifestation, with patients having relatively mild symptoms and good outcomes.ĭifferent imaging classifications have different clinical features and clinical outcomes thus, formulating an imaging-based classification system is of great clinical value.Ĭhest imaging Classification Clinical features Mycoplasma pneumonia Outcomes.Ĭopyright © 2023 The Author(s). The incidence of bronchiolitis, a disease characterized by a high prevalence of fever, moist rales, and an atopic constitution, tended to increase after the coronavirus disease pandemic and predisposed patients to BO. Further, outcomes of the patients were worse, including having longer total durations of fever and hospitalization, greater hospitalization expenses, and a higher likelihood of developing refractory MPP, necrotizing pneumonia, and bronchiolitis obliterans (BO) in this group. Clinical manifestations and laboratory indicators for the consolidation/atelectasis group included serious abnormalities. Clinical characteristics and outcomes of patients with different imaging classifications were prospectively analyzed based on electronic medical records.īronchopneumonia was the most common finding (59.6%), while consolidation/atelectasis was the most severe group. Imaging findings were categorized as bronchopneumonia and consolidation/atelectasis according to X-ray, and bronchopneumonia, consolidation/atelectasis, bronchiolitis, and mosaic pattern according to computed tomography (CT). ![]() To prospectively investigate whether chest imaging classification in Mycoplasma pneumoniae pneumonia (MPP) is associated with its clinical features and outcomes.Ī total of 1,401 hospitalized children with MPP were enrolled from January 2019 to December 2021. The imaging findings of Mycoplasma pneumoniae pneumonia (MPP) vary however, few studies have focused on the relationship of imaging classification with clinical manifestations and outcomes.
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