저자들은 항마이코플라스마 항체와 한냉 응집소 검사로 진단된 마이코플라스마 폐렴에서 급성 호흡곤란 증후군과 한냉 응집소용혈성 빈혈, 그리고 간염이 발생된 전격성 M. þneumoniae 감염이 스테로이드 투여로 임상 증상 및 X-선 소견 그리고 한냉 응집소 용혈성 빈혈이 호전되었던 1예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다.
The frequency of fulminant peumonia due to Mycoplasma pneumoniae is relatively rare despite the high prevalence of Mycoplasma species infection in the general population. We report a case of mycoplasma pneumonia complicated with severe ARDS, overt hemolytic anemia and hepatitis. He had high titers of antimycoplasma antibody and cold agglutinin. Despite erythromycin administration, the pneumonic infiltration on chest radiography was not resolved, and mechanical ventilation was needed for 16 days. During the therapeutic course, his hemoglobin decreased. After the administration of prednisolone, his hemoglobin increased and pneumonic infiltration was totally resolved. He had a progressively favorable course and could be discharged in relatively good clinical condition.
