標準的治療後に再燃し重症化した成人マイコプラズマ肺炎の1例

三崎 萌子; 弦切 純也; 長田 雄大; 佐野 秀史; 山中 浩史; 奥村 栄太郎; 坪内 信彦; 沼田 儒志; 新井 隆男

doi:10.24697/jaamkanto.39.3_394

An adult case of mycoplasma pneumonia with relapse and deterioration after standard treatment

Moeko Misaki, Junya Tsurukiri, Katsuhiro Nagata, Hidefumi Sano, Hiroshi Yamanaka, Eitaro Okumura, Nobuhiko Tsubouchi, Jushi Numata, Takao Arai

Author information

Moeko Misaki
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Junya Tsurukiri
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Katsuhiro Nagata
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Hidefumi Sano
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Hiroshi Yamanaka
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Eitaro Okumura
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Nobuhiko Tsubouchi
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Jushi Numata
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center
Takao Arai
Department of Emergency Medicine and Critical Care, Tokyo Medical University Hachioji Medical Center

Keywords: macrolide-resistant, duration of antibiotic administration, steroid

JOURNAL FREE ACCESS

2019 Volume 39 Issue 3 Pages 394-397

DOI https://doi.org/10.24697/jaamkanto.39.3_394

Details

Abstract

Background : We encountered a case of mycoplasma pneumonia (MP) that relapsed and increased in severity after providing standard treatment. Case : A 75-year-old man was admitted to hospital for MP. He was administered standard antibiotic therapy and was discharged home. However, he was readmitted 4 days later in the recurrence of MP. Discussion : Retrospective evaluation revealed several factors that might have induced the relapse. Conclusion : It may be necessary to reconsider the standard treatment for severe MP.

Corresponding author

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