肺炎支原体感染致小儿传染性单核细胞增多综合征分析

Infectious Mononucleosis Syndrome Due to Mycoplasma Pneumoniae in Children

目的探讨肺炎支原体感染所致小儿传染性单核细胞增多综合征的临床特点。方法对8例肺炎支原体感染致小儿传染性单核细胞增多综合征的临床特点及其诊断治疗进行回顾性分析。结果8例患儿均有发热、淋巴结肿大、咽峡炎;其中5例有肝脾肿大,4例合并有皮疹,3例有心肌损害,经用阿奇霉素抗感染及保肝营养心肌等综合治疗均痊愈。结论小儿肺炎支原体感染可致传染性单核细胞增多综合征,其临床主要表现为不规则发热、淋巴结肿大、咽峡炎,肝脾肿大也较为常见,早期诊断及时正确治疗可缩短病程,减少并发症并改善预后。

Objective To study the clinical features of infectious mononucleosis syndrome due to mycoplasma pneumoniae in children. Methods Retrospectively study of 8 children with infectious mononucleosis syndrome due to mycoplasma pneumoniae. Results All 8 patients had fever enlarged lymph nods and angina. 5 patients had hepatosplenomegaly, 4 had skin rash and 3 had cardiolitis. All patients were cured following erythromycin and other comlex treatment. Conclusion Mycoplasma pneumoniae can lead to infectious mononucleosis syndrome in children. The main clinical features included irregular fever, angina, and enlarged lymph nodes. Hepatosplenomegaly was another common abnormality. Early diagnosis and properly treatment can reduce complications.