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© 2022. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

A 15‐year‐old male presented with headache, high fever and respiratory distress. Chest computed tomography showed bilateral pneumonia, and antimicrobial therapy was initiated. However, his respiratory condition deteriorated, and he developed respiratory failure requiring intubation. A multiplex polymerase chain reaction (PCR) test and 16S ribosomal RNA gene analysis were done from his intratracheal secretions to determine the causative pathogens, and Mycoplasma pneumoniae was detected. He was treated with appropriate antimicrobial therapy, systemic corticosteroid therapy and extracorporeal membrane oxygenation. He also presented with pulmonary thromboembolism and was treated with anticoagulants, to which he responded well. This patient demonstrates the similarities between severe M. pneumoniae pneumonia with bilateral pneumonitis and thrombosis, and severe coronavirus disease 2019. Therefore, it is important to identify cases of bilateral pneumonia with severe respiratory dysfunction using multiplex PCR tests to provide appropriate medical management and therapeutic interventions.

Details

Title
Severe infectious acute respiratory failure mimicking COVID‐19 in a healthy adolescent
Author
Hashimoto, Kohei 1 ; Kawaguchi, Takako 1 ; Yamasaki, Kei 1   VIAFID ORCID Logo  ; Ikegami, Hiroaki 1 ; Kawanami, Toshinori 1 ; Yatera, Kazuhiro 1 

 Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan, Kitakyusyu, Japan 
Section
CASE REPORTS
Publication year
2022
Publication date
Apr 2022
Publisher
John Wiley & Sons, Inc.
e-ISSN
20513380
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2643867246
Copyright
© 2022. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.