一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (116k)
Article in Japanese

Case Report

Mycoplasma Pneumonia Complicated by Acute Renal Failure

Noriyuki Enomoto1)   Yutaka Nakano1)   Takafumi Suda2)   Kingo Chida2)  Hirotosi Nakamura2)  

1)Department of Internal Medicine, Hamamatsu Rousai Hospital, 25, Shougencho, Hamamatsu 430-0802, Japan
2)Second Department of Internal Medicine, Hamamatsu University School of Medicine, 3600, Handacho, Hamamatsu 431-3192, Japan

ABSTRACT

A 17-year-old woman presented with cough and fever. Treatment with cefteram pivoxil and fosfomycin calcium was not effective. Chest radiography showed infiltration with an air bronchogram in the left upper lung field. The case was initially treated as atypical pneumonia by administering minocycline hydrochloride and piperacillin sodium. Since acute renal failure progressed rapidly, we introduced hemodialysis, and renal function improved. The mycoplasma polymerase chain reaction (PCR) in the pharynx smear was positive, and the mycoplasma serum titer was 1280 on admission. On the basis of these findings, mycoplasma pneumonia was diagnosed. Only one other case of mycoplasma pneumonia with hemodialysis has been reported in Japan. We report and assess the pathogenesis of mycoplasma pneumonia complicated by renal dysfunction.

KEYWORDS

Mycoplasma pneumonia  Acute renal failure  Acute gromerulonephritis  Hemodialysis 

Received 平成12年9月6日

JJRS, 39(6): 425-429, 2001

Google Scholar