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Clinical analysis of pulmonary embolism in a child with Mycoplasma pneumoniae pneumonia
Ist Teil von
Zhonghua er ke za zhi, 2012-02, Vol.50 (2), p.151
Ort / Verlag
China
Erscheinungsjahr
2012
Link zum Volltext
Beschreibungen/Notizen
To explore the essential points for diagnosis of pulmonary embolism in children with mycoplasma pneumonia.
Retrospective analysis of the clinical and laboratory data of a pediatric case who developed pulmonary embolism after mycoplasma pneumonia was performed for the key points for diagnosis.
A-six-year old boy was admitted with chief complaint of fever and cough for half a month, combined with chest pain and mild labored breath. Vital signs were stable. Breathing movement of the left side weakened and there was left lower lobe percussion dullness. Breath sound was found weakened in the left lung, and a few fine crackles were audible. The results of laboratory tests were as follows: mycoplasma antibody (IgM) 1:128, cold agglutinin test 1:1024, blood D dimer 14.81 mg/L; anticardiolipin antibody was positive; plasma protein C activity was 60% (normal range 70% - 130%). Pulmonary artery computed tomographic angiography revealed a mass opaque shadow in left lower lobe, the branch of left lower bronchial artery wa