Mycoplasmal pneumonias in childhood - Roentgen features, differential diagnosis and review of literature

C. Gückel, G. Benz-Bohm, B. Widemann

Research output: Contribution to journalReview articlepeer-review

Abstract

The chest radiographs of 23 children, aged between 4.2 to 15.4 years with serologically proven mycoplasmal pneumonia were reviewed and correlated with the findings in literature. Three different patterns of infiltration were seen in equal frequency: 1) peribronchial and perivascular interstitial infiltrates, 2) patchy consolidations and 3) homogeneous acinar consolidations like groundglass. The lower fields of the lungs were mostly affected. Pattern 1 was always observed bilaterally. Enlargement of the hilar glands was a common finding. Pleural effusion was rare. Numerous differential diagnoses, especially viral pneumonias, feature the heterogeneity of the infiltration patterns. As no pattern is pathognomonic for mycoplasmal pneumonia clinical symptoms and signs, the epidemiological situation and laboratory data may confirm the diagnosis.

Original languageEnglish (US)
Pages (from-to)499-503
Number of pages5
JournalPediatric radiology
Volume19
Issue number8
DOIs
StatePublished - Sep 1 1989

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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