Four cases of arthritis associated with Mycoplasma pneumoniae infection

Pediatrics International : Official Journal of the Japan Pediatric Society
Kohji AzumagawaHiroshi Tamai

Abstract

Mycoplasma pneumoniae infection is diagnosed commonly by marked elevation of serum antibodies, but this requires several days and consequently M. pneumoniae infection might be overlooked in some cases. Recently an ImmunoCard Mycoplasma rapid diagnosis test (IC) has been developed and used clinically. One of the advantages of this diagnosis test is that clinicians can recognize the infection by a single administration at the beginning of treatment. A total of 1033 children aged 1-15 years (average 2.0 years) were examined. The diagnosis of M. pneumoniae infection was made mainly on the basis of a positive reaction to the IC. Also where possible, particle agglutination (PA) was performed as a confirmatory test. Diagnosis was made on the basis of a fourfold or greater rise in the PA antibody titer by paired sera or an initial single PA titer >1:320. Arthritis was diagnosed mainly on clinical symptoms. Additionally, ultrasonography (US) was conducted to confirm arthritis. In using US, arthritis was defined as an enlargement of the low echoic section or fluid retention inside the articular capsule. IC was used in 1033 patients and results were positive in 348 (33.6%). Of these 348, there were 70 cases of pneumonia (20.1%) and four c...Continue Reading

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Citations

Dec 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Maria VlachouDimitris Dimitriadis
Feb 27, 2010·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Mitsuo Narita
Jun 24, 2017·The Journal of International Medical Research·Tianhua LiLihong Wang
Nov 28, 2013·Antimicrobial Agents and Chemotherapy·Yunlian ZhouZhimin Chen
Apr 16, 2019·The Pediatric Infectious Disease Journal·Oren GordonRan Nir-Paz
Sep 23, 2011·The Journal of Bone and Joint Surgery. American Volume·Zhuolin HanHilary Babcock
Jan 21, 2021·Medicine·Cristina Oana MărgineanLorena Elena Meliţ

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