Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report
Abstract Background Introduction In recent years, there has been an increase in the number of patients diagnosed with pediatric diseases who have severe Mycoplasma pneumoniae (MP) pneumonia, and there has also been an increased attention to serious extrapulmonary complications. However, cases with a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Immunity, Inflammation and Disease |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iid3.955 |
| _version_ | 1827775638037069824 |
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| author | Hui Lei Qiong Wang Xue‐min Xiong Shengjuan Hu Yu Shao Rongchang Shao |
| author_facet | Hui Lei Qiong Wang Xue‐min Xiong Shengjuan Hu Yu Shao Rongchang Shao |
| author_sort | Hui Lei |
| collection | DOAJ |
| description | Abstract Background Introduction In recent years, there has been an increase in the number of patients diagnosed with pediatric diseases who have severe Mycoplasma pneumoniae (MP) pneumonia, and there has also been an increased attention to serious extrapulmonary complications. However, cases with abdominal pain, acute abdomen, scrotal swelling and pain, and fever as the primary symptoms have been rarely reported. Case Description A 3‐years‐and‐8‐months‐old male patient diagnosed with pediatric disease was reported with abdominal pain, scrotal swelling and pain, and fever as the primary symptoms in the present study. No respiratory symptoms were observed throughout the disease. Through computed tomography (CT) scanning, the patient was diagnosed with severe MP pneumonia based on the symptoms of abdominal pain and fever, as well as pulmonary infection, pleural effusion, and retroperitoneal exudation. Laboratory tests supported the diagnosis of MP infection, and the diagnosis was confirmed by severe MP pneumonia. The therapeutic effects of azithromycin were poor, and the symptoms were quickly alleviated with the addition of gamma globulin and methylprednisolone. After discharge, azithromycin sequential therapy was administered. The chest CT was normal at the follow‐up 1‐month later. Conclusion Severe MP pneumonia in patients with pediatric diseases may include abdominal pain, scrotal swelling and pain, and fever as the primary symptoms. Care should be taken to avoid missed diagnoses and misdiagnoses in clinical practice. |
| first_indexed | 2024-03-11T13:52:58Z |
| format | Article |
| id | doaj.art-1eb6faca36e94dfe97f761157768e165 |
| institution | Directory Open Access Journal |
| issn | 2050-4527 |
| language | English |
| last_indexed | 2024-03-11T13:52:58Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Immunity, Inflammation and Disease |
| spelling | doaj.art-1eb6faca36e94dfe97f761157768e1652023-11-02T07:56:18ZengWileyImmunity, Inflammation and Disease2050-45272023-10-011110n/an/a10.1002/iid3.955Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case reportHui Lei0Qiong Wang1Xue‐min Xiong2Shengjuan Hu3Yu Shao4Rongchang Shao5Department of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaDepartment of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaDepartment of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaDepartment of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaDepartment of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaDepartment of pediatrics Ezhou Central Hospital Ezhou Hubei ChinaAbstract Background Introduction In recent years, there has been an increase in the number of patients diagnosed with pediatric diseases who have severe Mycoplasma pneumoniae (MP) pneumonia, and there has also been an increased attention to serious extrapulmonary complications. However, cases with abdominal pain, acute abdomen, scrotal swelling and pain, and fever as the primary symptoms have been rarely reported. Case Description A 3‐years‐and‐8‐months‐old male patient diagnosed with pediatric disease was reported with abdominal pain, scrotal swelling and pain, and fever as the primary symptoms in the present study. No respiratory symptoms were observed throughout the disease. Through computed tomography (CT) scanning, the patient was diagnosed with severe MP pneumonia based on the symptoms of abdominal pain and fever, as well as pulmonary infection, pleural effusion, and retroperitoneal exudation. Laboratory tests supported the diagnosis of MP infection, and the diagnosis was confirmed by severe MP pneumonia. The therapeutic effects of azithromycin were poor, and the symptoms were quickly alleviated with the addition of gamma globulin and methylprednisolone. After discharge, azithromycin sequential therapy was administered. The chest CT was normal at the follow‐up 1‐month later. Conclusion Severe MP pneumonia in patients with pediatric diseases may include abdominal pain, scrotal swelling and pain, and fever as the primary symptoms. Care should be taken to avoid missed diagnoses and misdiagnoses in clinical practice.https://doi.org/10.1002/iid3.955abdominal painfevermycoplasma pneumoniae pneumoniascrotal swelling and pain |
| spellingShingle | Hui Lei Qiong Wang Xue‐min Xiong Shengjuan Hu Yu Shao Rongchang Shao Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report Immunity, Inflammation and Disease abdominal pain fever mycoplasma pneumoniae pneumonia scrotal swelling and pain |
| title | Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report |
| title_full | Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report |
| title_fullStr | Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report |
| title_full_unstemmed | Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report |
| title_short | Primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen, scrotal swelling and pain, and fever: A case report |
| title_sort | primary symptoms of severe mycoplasma pneumoniae pneumonia with acute abdomen scrotal swelling and pain and fever a case report |
| topic | abdominal pain fever mycoplasma pneumoniae pneumonia scrotal swelling and pain |
| url | https://doi.org/10.1002/iid3.955 |
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