Vol. 25 No CT. Mycoplasma pneumoniae. Mycoplasma pneumoniae. Key words Mycoplasma pneumoniae

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1 2013 Vol. 25No X 20 CT Mycoplasma pneumoniae 1 Mycoplasma pneumoniae C Key wordsmycoplasma pneumoniae

2 WBC 4,200l RBC l Hb 10.6 gdl Ht 34.2 Plt l 1 43 mm 2 73 mm PT 72 APTT 37.4 sec Fib 202 mgdl TP 5.3 gdl Alb 2.8 gdl Tbil 0.4 mgdl Dbil 0.1 mgdl BUN 8.1 mgdl Cr 0.4 mgdl UA 3.1 mgdl Ca 8.1 mgdl ip 2.7 mgdl AST 562 IUl ALT 293 IUl LDH 4,474 IUl ALP 246 IUl GTP 17 IUl CK 72 IUl Amy 69 IUl Na meql K 3.9 meql Cl 99.0 meql CRP 0.5 mgdl HAIgM HBsAg HCVAb IgM IgG CMVIgM CMVIgG A B 3 7 B4 B5 B6 EBV EBNA ph ,048 6 PA 40 10, EIA EIA EIA EIA CF MG Amy 829gl 2,751 IUl30 CF P 95.3 NT NT CF CF CF FA S ACCR ACCRamylase creatinine clearance ratio cm1.67 S.D kg1.38 S.D mmhg70 mmhg 1 X AST 1,289 IUlALT 750 IUl 39.7AST ALT AST 27 IUlALT 32 IUl PA , X 3 a IUl CT 3 b 950 ngml

3 2013 Vol. 25No X 6 lll l 2 A2 1,890 ngdl IUl IUl 10, MRCP IUl

4 a X b CT IUl IUl PA CF 4 PA 320 CF 64 2 X PA , CTMRI 2 13 CT Grade 0 Grade 1 3 PubMed X IgM Mårdh

5 2013 Vol. 25No X Mårdh PenicillinEM 14 42,000IU 2,000IUl Not done 101,280CF MINO U 400U Not done 512CF MINO S6 2 24,960IUl 850IUl Not done 80160CF Yoshimoto MINOAMPC 35 4,600IUl 870IUl Not done 1,280HA MINOEM ,000IU 1,607IU Not done 3264CF 32128CF 7 EMCEZ 9 1,805IU 353IU Not done 3201,280PHA 432CF EMCEZ 6 650IU 144IU Not done 40640PHA 464CF 4 EMCTX IU 1,204IU Not done 1,280PHA CCLASPCMINO 13 4,670IUl 2,459IUl CT 464CF MINOFMOX 12 9,340IUl 379IUl 6402, MINO IUl 1,074IUl Not done 81,024CF CTX 10 3,789IUl 3,010IUl 1,810IUl 1,280PA CT CAMCTX 2 917IUl 238IUl 40160PHA CTMRI 6 MINO 28 3,047IUl 468IUl 63IUl 4010,240PA CT EMerythromycin, MINOminocycline, AMPCamoxicillin, CEZcefazolin, CTXcefotaxime, CCLcefaclor, ASPCaspoxicillin, FMOXflomoxef, CAMclarithromycin bronchopneumonia

6 X ,14 A Mycoplasma pneunomiae Mårdh 8 4 Mycoplasma pneunomiae Tomomasa Mycoplasma pneunomiae 15 Mycoplasma pneunomiae 1 Mycoplasma pneunomiae Mycoplasma pneumoniae Mycoplasma pneumoniae 18 Leinikki Mycoplasma pneumoniae CF Mycoplasma pneumoniae 19 Mycoplasma pneumoniae 20,21 Mycoplasma pneumoniae CF PA 40 10,240 Mycoplasma pneumoniae

7 2013 Vol. 25No loop mediated isothermal amplificationlamp 22 Mycoplasma pneumoniae Mycoplasma pneunomiae Powell DAMycoplasma pneumoniae. Nelson textbook of pediatrics 19th edkliegman RM, et al eds. W.B. Saunders, Philadelphia, 2011, Mårdh PA, et althe occurrence of acute pancreatitis in Mycoplasma pneumoniae infection. Scand J Infect Dis , Yoshimoto M, et alacute pancreatitis complicating Mycoplasma pneumoniae infection in a child. Annales Paediatrici Japonici , Tomomasa T, et alacute pancreatitis in Japanese and Western childrenetiologic comparisons. J Pediatr Gastroneterol Nutr , Waites KB, et almycoplasma pneumoniae and its role as a human pathogen. Clin Microbiol Rev , 2004

8 Parenti DM, et alinfectious causes of acute pancreatitis. Pancreas , Leinikki P, et alantibody response in patient with acute pancreatitis to Mycoplasma pneumoniae. Scand J Gastroenterol , Oderda G, et alrising antibody titer to Mycoplasma pneumoniae in acute pancreatitis. Pediatrics , alAbassi AAcute pancreatitis associated with Mycoplasma pneumoniaea case report of missed diagnosis. Med Princ Pract , LAMPloopmediated isothermal amplification Mycoplasma pneumoniae Badalov N, et aldruginduces acute pancreatitisan evidencebased review. Clin Gastroenterol Hepatol , 2007 Case of a male pediatric patient with mycoplasma pneumonia followed by acute pancreatitis A case report and review of the literature Yoshifusa ABE 1, Shintaro SUZUKI 2, Kazuhiko MATSUHASHI 1, Mai ARAI 1, Shuichiro WATANABE 3, Kazuo ITABASHI 1 1Department of Pediatrics, Showa University School of Medicine 2Division of Respiratory and Allergy, Department of Internal Medicine, Showa University School of Medicine 3Watanabe Children s Clinic The case of a male pediatric patient with mycoplasma pneumonia followed by acute pancreatitis is described. The patient was six years and eleven months old. He was referred to our hospital due to fever and cough. Chest Xray images showed pneumonia and laboratory tests revealed an elevated transaminase level. He was admitted to our hospital because of mycoplasma pneumonia and acute liver dysfunction. Although his symptoms and laboratory data were improving, he had fever and upper abdominal pain on day 20 post admission. The levels of pancreatic enzymes were elevated in the patient s blood and urine, and CT images of the abdomen revealed swelling of the pancreas. Hence, he was diagnosed as having acute pancreatitis. There are several reports on cases of mycoplasma pneumonia followed by acute pancreatitishowever, whether acute pancreatitis is induced by mycoplasma infection remains to be clarified. Therefore, it is important to reconsider this issue. Previous studies and this one suggest that attention should be paid to the incidence of acute pancreatitis after improvement of mycoplasma pneumonia. However, further research is required to clarify the mechanisms underlying this incidence