肺炎支原体感染致皮肤损害52例患儿的临床特点及治疗分析

Clinical Characteristics and Treatment of 52 Cases of Skin Damage Caused by Mycoplasma Pneumoniae Infection

目的:探究肺炎支原体感染致患儿皮肤损害的临床特点及治疗分析。方法:通过间接免疫荧光法对某院2014年1月~2016年3月收治的324例肺炎支原体(MP)感染患儿进行5种病原体联检,观察分析血清MP-IgM阳性伴皮肤损害患儿的临床资料,并进行相关治疗分析研究。结果:324例肺炎支原体感染患儿中,52例患儿都在呼吸道感染的基础上伴随有皮肤损害,其中19例表现为荨麻疹样皮疹,14例表现为红斑或斑丘疹,9例表现为猩红热样皮疹,5例表现为麻疹样皮疹,3例表现为水疱疹,2例表现为紫癜样皮疹。静滴3~5d阿奇霉素针,口服罗红霉素,数小时~14d内皮疹现象全部消失,预后效果好。结论:MP感染不仅会导致呼吸道系统感染,也可导致皮肤损害,要综合考虑MP感染的因素来进行治疗。

Objective:To explore the clinical characteristics and treatment of skin lesions caused by mycoplasma pneumoniae infection in children.Methods:Five kinds of pathogen detection was contucted in 324 children with mycoplasma pneumoniae(MP)infection treated in a hospital form January 2014 to March 2016 by indirect immunofluorescence method.The clinical data of children with MP-IgM positive and skin lesions were observed and analyzed,and related treatment effect was analyzed.Results:Among 324 cases of children with mycoplasma pneumoniae infection,52 cases of children were accompanied by skin lesions on the basis of respiratory infection,including 19 cases of urticaria like rash,14 cases of erythema or papule,9 cases of scarlatina rash,5 cases of measles like rash,3 cases of water herpes,and 2 cases of Purpura like eruption.All patients treated with intravenous infusion of azithromycin for 3~5 dand oral roxithromycin,the rash phenomenon disappeared within several hours to 14 d,and the prognosis was good.Conclusion:MP infection can not only lead to respiratory tract infection,but also lead to skin damage,and the factors of MP infection should be considered for treatment.