A child coughs for three weeks and their left lung turns white! Be careful of this highly disguised pneumonia recently. Seven children undergo bronchoscopy in the morning during the high incidence period | children | children
As summer begins in Hangzhou, the high incidence of infectious diseases in spring has passed according to the law. But recently, coughs have been heard in the pediatric waiting room of the First People's Hospital of Hangzhou.
"Recently, infectious diseases have increased significantly. Only a week ago, one or two tracheoscopies were performed. Yesterday, just one morning, seven children had tracheoscopies." Zheng Xuyang, deputy chief physician of pediatrics in a city hospital, made a statistics. Recently, the number of outpatient visits in pediatric clinics has been at a high level, and the pediatric ward has been in a "waiting bed" queue. Most of the children have pneumonia, of which mycoplasma pneumonia is the most, accounting for 60% to 70%.
After coughing for three weeks, my left lung turned white
Mycoplasma pneumonia is good at "disguising"
In the impression of most parents, children with pneumonia will have a high fever. But Zheng Xuyang said that in recent years, there have been more and more atypical symptoms of pneumonia. Many children with pneumonia have low blood counts and mild coughing. They only come for examination when they find that their cough is not healing for a long time or even wheezing. A CT scan of the lungs shows that some of their lungs have already turned white.
A few days ago, Zheng Xuyang received a 7-year-old boy named You You, who had a persistent cough and developed asthma before being admitted to the hospital for treatment. After Zheng Xuyang inquired, he found out that Youyou had a three-day high fever more than three weeks ago. "At that time, as before, the parents gave their child the usual antibiotics and fever reducing drugs at home. Although the child's fever subsided three days later, he continued to cough and his symptoms gradually worsened."
After a chest CT scan, Zheng Xuyang found that the lower lobe of his left lung was "white". The subsequent laboratory results confirmed that You You had contracted Mycoplasma pneumonia and was immediately admitted to the hospital. But parents don't understand. How could someone like You You, who doesn't have a sustained high fever and has undergone blood tests without significant changes, suffer from severe Mycoplasma pneumonia?
According to Zheng Xuyang's popular science, the current symptoms of pneumonia are not necessarily typical. Many pneumonia patients infected with Mycoplasma are more similar to common cold patients simply in terms of symptoms. In the early stage, it may present as simple high fever or simple cough, with normal blood routine and chest X-ray showing single or interstitial pneumonia. Pathogenic testing is necessary to make a clear diagnosis, which is very insidious and prone to missed diagnosis.
High incidence of preschool and school-age children
Pay special attention to fever accompanied by severe cough
What is Mycoplasma Pneumonia? "In fact, Mycoplasma pneumoniae is not a bacterium or a virus, but the smallest pathogenic microorganism between bacteria and viruses. Its clinical manifestations are also diverse, including nasopharyngeal inflammation, tonsillitis, bronchitis, and pneumonia, so it is difficult to distinguish it from general respiratory tract infections." Zheng Xuyang introduced.
The manifestations of respiratory infections caused by Mycoplasma in children are often non-specific. From clinical experience, the peak age of Mycoplasma infection is in preschool and school-age children. Kindergarten and primary school students are both susceptible groups, often presenting with recurrent fever with or without cough, and the use of antibiotics is not effective. Infants and young children before the age of 3 often present with fever, coughing, or wheezing after infection, and some children may experience continuous and severe coughing.
Zheng Xuyang mentioned that once mycoplasma infection is combined with bacterial infection, it is quite dangerous, and the onset of the disease is very urgent. Some children with the disease will develop a "white lung" in just two to three days. At the end of last year, a hospital in the city admitted a child who developed acute respiratory distress syndrome within 3 days of onset. He was eventually treated with ECMO before turning the tide.
"If a child in this age group has a fever accompanied by severe cough, especially if the cough lasts for more than three weeks, it must be taken seriously and actively seek medical attention." Zheng Xuyang reminded.
