The Open Respiratory Medicine Journal




ISSN: 1874-3064 ― Volume 14, 2020

Association of Mycoplasma Pneumoniae Infections with Status Asthmaticus



Usama Hanhan*, James Orlowski, Mariano Fiallos
1 University Community Hospital, Tampa, FL 33613, USA

Abstract

Background & Objective

Viral respiratory infections (VRI) have been commonly associated with exacerbation of wheezing in asthmatic children. Mycoplasma pneumoniae (MP) causes many respiratory syndromes that clinically mimic VRI. Due to the nature of the organism, cultures are of no practical value and the diagnosis is usually made by serology. Only a few studies have associated mycoplasma infections with acute exacerbations of wheezing in the asthmatic patient. This study was an attempt to assess the incidence of recent mycoplasma infections in patients with status asthmaticus and to review their laboratory, clinical and radiological findings.

Methods

Retrospective review of all patients admitted to PICU over 12 month period with status asthmaticus. Recent mycoplasma infection was determined utilizing the Immunocard Mycoplasma Enzyme Immunoassay (EIA) for detection of MP IgM antibodies (Meredian Diagnostics, Inc., Cincinnati, OH)

Results

The records of 44 patients were reviewed. 9 were excluded because MP tests were never obtained during hospitalization. 15/35 (42%) were MP Positive. There were no statistically significant differences (P>0.05) in length of hospitalization (LOH), ICU days, duration of continuous albuterol aerosol hours (cont. Nebs hrs.), days on O2 (02 days) or WBC between the two groups, however patients who were mycoplasma positive were treated with a macrolide antibiotic in addition to their standard asthma therapy. Patients with evidence of recent MP infection were more likely to have one or more infiltrates on their CXR (13/15 vs 7/20; P= 0.002).

Conclusion

Our study suggests that recent MP infections play a significant role in exacerbations of asthma and occurrence of status asthmaticus in children. The presence of infiltrates on CXR in status asthmaticus warrants tests for MP.

Keywords: Mycoplasma pneumoniae, asthma, status asthmaticus, chest X-ray infiltrates..


Article Information


Identifiers and Pagination:

Year: 2008
Volume: 2
First Page: 35
Last Page: 38
Publisher Id: TORMJ-2-35
DOI: 10.2174/1874306400802010035

Article History:

Received Date: 6/3/2008
Revision Received Date: 24/3/2008
Acceptance Date: 1/4/2008
Electronic publication date: 7/5/2008
Collection year: 2008

© Hanhan et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.


* Address correspondence to this author at the University Community Hospital, 3100 E. Fletcher Avenue, Tampa, FL 33613, USA; Tel: (813) 615-7437; Fax: (813) 615-7439; E-mail: uhanhan@mail.uch.org



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