Mycoplasma Pneumoniae Infection: A Case
Requiring Follow-Up in Intensive Care Unit
Gökhan Perincek1, Sema Avcı2*, Emrah Batmaz3
1Department of Chest Diseases, Kars Harakani State Hospital, Turkey
2 Department of Emergency Medicine, Amasya University, Sabuncuoglu Serefeddin Research and Training Hospital, Turkey
3Department of Chest Diseases, Tekirdag State Hospital, Turkey
Submission: November 08, 2018; Published: December 03, 2018
*Corresponding author: Sema Avci, Amasya University, Sabuncuoğlu Şerefeddin Research and Training Hospital, Department of Emergency Medicine, Amasya, Turkey.
How to cite this article: Gökhan P, Sema A, Emrah B. Mycoplasma Pneumoniae Infection: A Case Requiring Follow-Up in Intensive Care Unit. J Anest
& Inten Care Med. 2018; 8(1): 555726. DOI: 10.19080/JAICM.2018.08.555726
The community-acquired pneumonia due to Mycoplasma pneumoniae is usually mild. Severe life-threatening pneumonia is rare due to this kind of infection. Our case was a 50-year-old healthy male patient. Patient with bilateral pneumonia, acute respiratory failure and high fever was followed in the intensive care unit and noninvasive mechanical ventilation was performed. IFAT Mycoplasma species IgM 1/80 were positive. This case report shows that community acquired pneumonia with acute respiratory failure is not seen only elderly and immuncompromised patients. This kind of pneumonia may also seen in healthy adults.
A 50-year-old man admitted to emergency room with high fever, cough, sputum, headache and dyspnea. The patient’s medical history and family history were unremarkable. Smoking status was active. On respiratory system examination, tuber sufl on the right middle zone, and inspiratory rales were revealed on the left lung middle side. The patient’s blood pressure was 80/40 mmHg,
pulse was 105/beats per minute, fever was 390C, respiratory per minute was 34 and oxygen saturation on finger monitor was 74%. The patient with moderate general status was admitted to the intensive care unit.
Laboratory examination: White blood cell 20.1(109/L), C-reactive protein: 37.9 mg/dL and sedimentation 95 mm/h. There was no growth in blood culture, urine culture and sputum culture. IFAT Chlamydiae: Negative. IFAT Mycoplasma IgM 1/10 (+), 1/20 (+), 1/40 (+), 1/80 (+). Electrocardiogram was sinus rhythm. Chest x-ray showed pneumonic consolidation with air bronchogram in bilateral middle and lower zones (Figure 1). Double antibiotic treatment was started. Non-invasive mechanical ventilation was performed for 3 days in intensive care unit. A significant improvement in chest x-rays taken on day 3 and 10 of treatment (Figures 2 & 3). The aim of this case report is to show the serious results of mycoplasma infection in a healthy individual.
All the authors declare that they have all participated in the
design, execution, and analysis of the paper, and that they have
approved the final version. Additionally, there are no conflicts of
interest in connection with this paper.