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소아 마이코플라스마 폐렴에서 Chorus Mycoplasma pneumoniae IgM Index와 임상양상과의 연관성
DC Field | Value | Language |
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dc.contributor.author | 오승환 | - |
dc.date.accessioned | 2019-01-02T16:40:48Z | - |
dc.date.available | 2019-01-02T16:40:48Z | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 0529-3804 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/166275 | - |
dc.description.abstract | Purpose: Mycoplasma pneumoniae (MP) has become a very important pathogen in childhood community-acquired pneumonia and usually detected with a immunological method. There had been a few studies for relationship of its antibody titer with the clinical features, so this study has been done to know it. Methods: I collected the informations of MP pneumonia patients who had been admitted and diagnosed with Chorus anti-Mycoplasma Pneumoniae IgM index method at the Department of Pediatrics, Yongin Severance Hospital, Yongin, Korea from September 2010 to December 2011. I divided the patients to group A(>5.0) and group B (≤5.0 and ≥1.1) by index value and compared them. Results: There were 99 cases for group A(55 boys and 44 girls) and 170 cases(83 boys and 87 girls) for group B. The mean ages for group A and group B were 4.4±3.0 years old and 5.0±3.0 years old respectively(P=0.167). There was no difference for sex ratio(P=0.287). The frequent clinical findings for group A and B were cough(100.0% versus 96.5%, P=0.088), sputum(96.0% versus 90.6%, P=0.105), fever(89.9% versus 90.0%, P=0.979), and rale(71.8% versus 61.2%, P=0.080). Chest radiographic infiltration had been found in 94 cases(95.0%) of group A and 154 cases(90.6%) of group B(P=0.198). Group A had longer durations of pre-admission fever(3.7±3.5 days versus 2.8±2.2 days, P=0.007), cough(6.7±5.3 days versus 5.2±5.5 days, P=0.030), sputum(6.7±5.6 days versus 4.7±5.4 days, P=0.014), more frequent vomiting(17.2% versus 8.8%, P=0.041), urinary ketone(10.1% versus 3.5%, P=0.028) and pyuria(18.2% versus 9.4%, P=0.038), more peripheral blood platelet counts (324,180.7 ± 96,279.3/μL versus 269,117.5±91,421.2/μL, P=0.00004), faster erythrocyte sedimentation rate (29.9±15.1 mm/hr versus 26.3±13.7 mm/hr, P=0.048) than group B. The admission durations were 4.2±1.5 days for group A and 4.2±1.4 days for group B(P=0.912). Conclusion: The Chorus anti-Mycoplasma pneumoniae IgM index titer is related with the initial clinical severity, but it does not predict the short-term prognosis. Continuous monitoring and study for it should be carried on to know its relevance to long-term prognosis. | - |
dc.description.statementOfResponsibility | prohibition | - |
dc.language | Korean | - |
dc.publisher | 최신의학사 | - |
dc.relation.isPartOf | Newest Medical Journal (최신의학) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 소아 마이코플라스마 폐렴에서 Chorus Mycoplasma pneumoniae IgM Index와 임상양상과의 연관성 | - |
dc.title.alternative | Relationship between Chorus Mycoplasma pneumoniae IgM Index and Clinical Manifestations in Pediatric Mycoplasma Pneumonia | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Pediatrics (소아청소년과학교실) | - |
dc.contributor.googleauthor | 오승환 | - |
dc.contributor.localId | A02397 | - |
dc.relation.journalcode | J02373 | - |
dc.subject.keyword | anti-Mycoplasma pneumoniae IgM index | - |
dc.subject.keyword | Children | - |
dc.subject.keyword | Mycoplasma pneumoniae pneumonia | - |
dc.contributor.alternativeName | Oh, Seung Hwan | - |
dc.citation.volume | 56 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 51 | - |
dc.citation.endPage | 61 | - |
dc.identifier.bibliographicCitation | Newest Medical Journal (최신의학), Vol.56(2) : 51-61, 2013 | - |
dc.identifier.rimsid | 59345 | - |
dc.type.rims | ART | - |
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