Journal of Clinical Pediatrics ›› 2019, Vol. 37 ›› Issue (4): 273-.doi: 10.3969/j.issn.1000-3606.2019.04.008

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Clinical analysis of Mycoplasma pneumoniae plastic bronchitis in 5 children

 JIANG Lili1,2, WAN Jiao1,2, SUO Fengtao1,2, TANG Lin1,2, LI Yuanyuan1,2, TIAN Xiaoyin1, ZHANG Guangli1, LUO Zhengxiu1   

  1. 1.Department of Respiratory, Children's Hospital of Chongqing Medical University; 2.Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China
  • Online:2019-04-15 Published:2019-04-18

Abstract:  Objective To analyze the clinical characteristics of Mycoplasma pneumoniae plastic bronchitis. Method The clinical data of Mycoplasma pneumoniae plastic bronchitis in 5 children were retrospectively analyzed. Results Five children (4 boys and 1 girl) all had cough and high fever and the fever duration was 5~13 days. Dyspnea and respiratory failure were found in 3 children, toxic hepatitis in 2 children, toxic encephalopathy in 1 child, toxic myocarditis in 1 child, and iliac vein and femoral vein thrombosis in 1 child. Chest imaging examination showed unilateral atelectasis with pulmonary consolidation in 5 children. Plastic bronchitis was confirmed on the 4th to 10th day of the disease course by bronchoscopy. 4 patients had bronchial obstruction and 1 patient had main bronchus obstruction. The plastic body was removed completely by bronchoscopy for 2-4 times. The children were cured clinically and discharged. Conclusion Plastic bronchitis should be considered in children with Mycoplasma pneumoniae pneumonia combined with dyspnea, unilateral atelectasis/consolidation. Bronchoscopy plays an important role in confirming diagnosis and improving prognosis.

Key words: Mycoplasma pneumoniae; plastic bronchitis; clinical characteristic; bronchoscopy