Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia

Susan D. John, Janaki Ramanathan, Leonard E. Swischuk

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Clinical symptoms in mycoplasma infection are nonspecific. Pulmonary involvement may be widespread or focal and segmental and is accompanied by signs including rales, rhonchi, and decreased breath sounds. Although manifestations of mycoplasma infection are usually confined to the respiratory tract, a wide variety of extrarespiratory manifestations can also occur, including more severe associated diseases such as myocarditis, acute disseminated encephalomyelitis, and cerebral arteriovenous occlusion. The radiographic findings in mycoplasma pneumonia are also nonspecific and in some cases closely resemble those seen in children with viral infections of the lower respiratory tract. Focal reticulonodular opacification confined to a single lobe is a radiographic pattern that seems to be more closely associated with mycoplasma infection than with other types of pediatric respiratory illnesses, and the diagnosis of mycoplasma pneumonia should be considered whenever focal or bilateral reticulonodular opacification is seen. Hazy or ground-glass consolidations frequently occur, but dense homogeneous consolidations like those seen with bacterial pneumonias are uncommon. Atelectasis or transient pseudoconsolidations due to confluent interstitial shadows are often seen. Radiographic findings alone are not sufficient for the definitive diagnosis of mycoplasma pneumonia, but in combination with clinical findings they can significantly improve the accuracy of diagnosis in this disease.

Original languageEnglish (US)
Pages (from-to)121-131
Number of pages11
JournalRadiographics
Volume21
Issue number1
StatePublished - Jan 2001

Fingerprint

Mycoplasma Pneumonia
Mycoplasma Infections
Respiratory Sounds
Pediatrics
Respiratory System
Acute Disseminated Encephalomyelitis
Bacterial Pneumonia
Pulmonary Atelectasis
Myocarditis
Virus Diseases
Glass
Lung

Keywords

  • Lung, infection, 60.2061
  • Pneumonia, 60.2061
  • Radiography, in infants and children, 60.11

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

John, S. D., Ramanathan, J., & Swischuk, L. E. (2001). Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. Radiographics, 21(1), 121-131.

Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. / John, Susan D.; Ramanathan, Janaki; Swischuk, Leonard E.

In: Radiographics, Vol. 21, No. 1, 01.2001, p. 121-131.

Research output: Contribution to journalArticle

John, SD, Ramanathan, J & Swischuk, LE 2001, 'Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia', Radiographics, vol. 21, no. 1, pp. 121-131.
John SD, Ramanathan J, Swischuk LE. Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. Radiographics. 2001 Jan;21(1):121-131.
John, Susan D. ; Ramanathan, Janaki ; Swischuk, Leonard E. / Spectrum of clinical and radiographic findings in pediatric mycoplasma pneumonia. In: Radiographics. 2001 ; Vol. 21, No. 1. pp. 121-131.
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