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    Go to the top of the page   ID: 20021112125011 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Mycoplasma pneumonia
    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    H. Frimmel (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    11 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lung  

     
     Pediatric Radiology CasesMost likely etiology:

    inflammatory or infectious  

     
     Pediatric Radiology CasesHistory:

    11 year old boy; for 2 weeks, persisting, mainly dry cough. Subfebrile temperatures to moderate fever of 39°C.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Inflammation of the lung due to infection with mycoplasma. Predominantly inflammatory reaction of the lung interstitium.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Thoracic image on the day of introduction. Transparency is decreased in the right middle and lower lobes. In the p.a. image, it is not able to be determined in which lobe it is located (Interstitial findings - ground glass).




    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Thoracic image after 14 days of erythromycin treatment: Normal thoracic findings.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Pathomorphological display and clinical symptoms of pneumonias are often similar, even when caused by different agents. The radiological display usually does not direct us to the agent.
    The different interstitial-alveolar opacities give a hint of which agents may come in question:
    - interstitial: Viruses, "atypical" agents (mycoplasma, chlamydia, rickettsia), fungi
    - alveolar: Bacteria (pneumococci, legionella, klebsiella).

    Even allergic, physical and chemical noxious agents can cause a pneumonia.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Interstitial pneumonia = reaction of the lung due to various noxious agents, predominantly in interstitium, but also later in the alveolar space.
    X-ray: interstitial (reticular) opacity through thickening of the interlobular septae, mostly striped, peri-bronchovascular, perihilar and subpleural opacities. Disseminated, discrete nodules.
    = reticular, striped and nodular lung opacities, diffuse milky murkiness (but also alveolar infiltration with discrete to obvious infiltrates with invasion of the alveolar sparce possible). Increased intrathoracic lymph nodes are often seen in viral pneumonias. Pleural effusions and scarring are seldom (differential diagnosis: bacterial superinfection).  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Krahe,T.
    Bildgebende Diagnostik von Lunge und Pleura
    G.-Thieme-Verlag Stuttgart 1998  

     
     Pediatric Radiology CasesKeywords:

    Pneumonia, intersititial pneumonia, atypical pneumonia, mycoplasma pneumoniae, Mycoplasma pneumonia, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Lung
    or in the region: Thorax
    or in the tissue/organ: Lung
    or with the etiology: inflammatory or infectious
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    Mycoplasma pneumonia
    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011


     

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    Mycoplasma pneumonia
    Other cases by these authors:

    Search H. Frimmel in Medline H. Frimmel (7)   

    Mycoplasma pneumonia  
     
    Mycoplasma pneumonia
    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011


     

    Which diagnosis have other collegues guessed?


    • Loblular space effusion
      Votes: 0 (0 %)


    • atelectasis
      Votes: 2 (18 %)


    • aspiration of foreign object
      Votes: 1 (9 %)


    • pulmonary scarring
      Votes: 7 (63 %)


    • Mycoplasmal pneumonia
      Votes: 1 (9 %)


    • Tuberculosis
      Votes: 0 (0 %)


    • Breast shadow
      Votes: 0 (0 %)



        Total answers: 11

     
    Mycoplasma pneumonia
    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011


     

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    Mycoplasma pneumonia
    H Frimmel. Mycoplasma pneumonia. PedRad [serial online] vol 2, no. 11.
    URL: www.PedRad.info/?search=20021112125011


     




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