Some people have a high fever that doesn't subside, and Mycoplasma pneumonia has arrived earlier this year! A hospital received over 500 cases of Xiaoming | Mycoplasma | Pneumonia last month

In previous years, the incidence of Mycoplasma pneumoniae infection was high in autumn and winter

But it's coming early this year

Many parents express that

My own child was also taken advantage of

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Ms. Li, who lives in Sichuan, said

My two daughters were both infected with Mycoplasma pneumonia and hospitalized

After treatment, I have been discharged from the hospital

In the past two months

Among the children seeking medical treatment at the People's Hospital of Cixi City, Ningbo, Zhejiang Province

Significant increase in elderly children infected with Mycoplasma pneumonia

Expert reminder:

Cephalosporin anti-inflammatory drugs

Poor treatment effect on Mycoplasma pneumonia

Suggest seeking medical attention in a timely manner

A 7-year-old girl has a fever for 10 days

It's actually severe pneumonia

Seven year old Orange from Hangzhou unfortunately fell victim, with a persistent fever, increased coughing, and no improvement

Orange Orange started to have a fever 10 days ago, reaching a maximum of 40.0 ℃. After her mother gave her oral antipyretic medication, there was no improvement, so she received intravenous treatment at the community hospital. A few days later, Orange began to cough, and CT showed inflammation in the middle and lower lobe of the right lung. Orange's mother brought Orange back to the community hospital to continue receiving saline solution, but her cough and sputum continued to worsen, and her fever did not improve. After undergoing various treatments, a pediatrician admitted Orange Orange to the Women and Children's Health Hospital in Linping District, Hangzhou, with the diagnosis of bronchopneumonia.

Orange fever lasts for more than 5 days, with a large range of lung lesions that meet the criteria for severe pneumonia. Some severe pneumonia cases may present with low blood oxygen saturation, acid-base imbalance, phlegm blockage, encephalopathy, gastroenteritis, etc. It is necessary to closely monitor the condition and make timely treatment.

Based on the age characteristics and recent epidemiological history of the orange, doctors have improved the relevant auxiliary tests for respiratory pathogens, and the test results show that it is positive for Mycoplasma pneumoniae. The real culprit causing severe pneumonia in Orange has been identified. Through systematic treatment for Mycoplasma pneumonia, Orange's condition gradually improved, and a follow-up chest X-ray showed that the pneumonia lesion in the lower right was more absorbed than before. After 9 days of hospitalization, Orange finally recovered and was discharged from the hospital.

High fever persists for three days

A 9-year-old boy's lungs undergo extensive consolidation

Recently, in the pediatric ward of Cixi People's Hospital, patient Xiaoming tested positive for Mycoplasma pneumoniae antibodies and Mycoplasma DNA, which is consistent with the judgment of the pediatric director Wu Xu. The child did indeed suffer from Mycoplasma pneumonia. Fortunately, due to timely treatment, Xiaoming's condition has significantly improved.

Three days ago, Xiaoming began to experience symptoms of dry cough accompanied by a high fever, with the highest fever exceeding 39 ℃. At first, I also took some fever reducing and cough suppressants, but the fever kept going back and forth and couldn't be suppressed. After staying at home for 3 days, seeing the child's fever persist, the family took him to the hospital.

The person receiving the consultation was Wu Xu, the director of pediatrics. He performed a lung auscultation on the child, but the rales were not obvious. Based on the recent epidemic situation and the child's clinical manifestations, Wu believed that the possibility of pneumonia was high. Therefore, he asked the child to have a lung CT, blood routine CRP test, mycoplasma antibody and DNA test.

The CT scan results of the lungs showed that there was a large consolidation in Xiaoming's right lung, with no significant increase in white blood cells in the blood routine. CRP was also basically normal. Although the results of Mycoplasma antibodies and DNA were not reported, Director Wu Xu, who has many years of experience, judged that Xiaoming's condition may be severe pneumonia caused by Mycoplasma pneumoniae infection and requires immediate hospitalization and treatment.

The family followed the doctor's advice and cooperated very well in handling the hospitalization procedures. After about a week of treatment, Xiao Ming's condition improved day by day, and symptoms such as cough and fever have disappeared. After a few more days of observation, he can be discharged from the hospital.

When it comes to Mycoplasma pneumonia, many people may be unfamiliar with it. It is reported that Mycoplasma pneumonia infection is more common in children and adolescents of all ages, especially in children over 5 years old and school age. After infection with Mycoplasma pneumoniae, the main symptoms are persistent fever, cough, wheezing, and accelerated breathing. The patient initially has no or little phlegm, and the early signs of the lungs are not obvious. Later, it may turn into stubborn and severe cough, sometimes accompanied by wheezing and difficulty breathing. Severe cases may also result in persistent high fever, difficulty breathing, pleural effusion, as well as serious consequences such as pneumonia, hepatitis, nephritis, myocarditis, meningitis, etc. Failure to treat in a timely manner may be fatal.

More than 500 cases were admitted in July

The hospital bed operates at full capacity every day

"The high incidence season of mycoplasma pneumonia is autumn and winter, and the last outbreak was in autumn and winter of 2018. This year is relatively special, which may be related to the prevalence of COVID-19 in previous years." Director Wu told reporters that since June, the number of children with mycoplasma pneumonia has increased significantly, and by July, more than 500 children with mycoplasma infection in outpatient and emergency department of pediatrics in a single month.

"As long as the child has a persistent fever, half of them may be infected with Mycoplasma, and about a quarter of them have developed into severe pneumonia and need hospitalization for treatment." Director Wu compiled hospitalization data from pediatric wards in recent times, and in July alone, 65 confirmed cases of Mycoplasma pneumonia were hospitalized, accounting for about 33% of the total number of hospitalizations that month, with an average length of hospital stay of 7-10 days. It can be said that in the past two months, the pediatric ward has been operating at full capacity and the hospital beds have been bursting every day.

Doctor's reminder:

Never do this thing

"Mycoplasma is neither a bacterium nor a virus. It is a type of atypical microorganism with no cell wall, high polymorphism, and a size between bacteria and viruses. Therefore, antibiotics such as cephalosporin and penicillin that inhibit bacteria by destroying the cell wall of bacteria are ineffective against Mycoplasma pneumoniae without a cell wall. Director Wu reminds parents not to treat Mycoplasma pneumoniae pneumonia as a common cold or flu. Once a child is diagnosed with Mycoplasma pneumoniae infection, they should not purchase antibiotics without authorization, otherwise it will only delay the condition.".

Director Wu introduced that currently in clinical practice, Mycoplasma pneumonia can be diagnosed by detecting Mycoplasma pneumoniae antibodies, Mycoplasma DNA, and Mycoplasma RNA combined with chest X-rays or lung CT scans. The treatment of Mycoplasma pneumoniae in children mainly relies on macrolide drugs, such as azithromycin, with a total course of treatment of about 10-14 days.

How to prevent infection?

"At present, there is no vaccine for Mycoplasma pneumonia. Therefore, preventing infection should start with enhancing physical fitness and maintaining good personal hygiene habits." Dr. Wu said that to prevent children from getting infected, the most fundamental thing is to improve their immunity, have a healthy diet, regular sleep, exercise more, and enhance their own disease resistance.

In addition, Mycoplasma pneumoniae is mainly transmitted through respiratory droplets, and appropriate protection can effectively reduce transmission. During the high incidence season of diseases, parents must pay attention and try not to take their children to crowded places and avoid participating in lively activities; Stay well ventilated at home, wear a mask when going out on weekdays, and pay attention to hand hygiene. In families with multiple children, if one child is infected, it is important to take proper isolation and protection measures.

When a child experiences symptoms such as fever and cough that persist for more than 3 days and cannot be relieved, it is recommended to go to the hospital for active treatment to avoid delaying the progression of the condition to severe illness.