Severe Mycoplasma pneumoniae infections with prolonged fever in a child: Delayed treatment is as important as macrolide resistance

oleh: Jun Yi Sim, Yi-Hsin Chang, Wei-Yu Chen, Yun Chou, Wei-Yun Hsu, Yu-Chin Chen, Tu-Hsuan Chang

Format: Article
Diterbitkan: Elsevier 2021-04-01

Deskripsi

We report a 7-year-old girl who got Mycoplasma pneumoniae infection with prolonged fever. Macrolide was used on day 14 of illness but fever persisted with progressive lung consolidation. Oral prednisolone was administered on day 33 then fever subsided with dramatically clinical improvement (decreased CRP and resolution of lung consolidation). In this case, delayed effective antibiotic treatment with inflammation may be the major factor contributing to the fever rather than ongoing infection.