A 7-year-old boy with mycoplasmal infection requiring extracorporeal membrane oxygenation

• Published in: European journal of pediatrics Vol. 162; no. 1; pp. 44 - 46
• Main Authors: YOSHIDA, Tomohide, ASATO, Yoshihide, KUKITA, Ichiro, OOSHIRO, Masakatu, TAKARA, Itaru, IHA, Hiroshi, SUGAHARA, Kazuhiro, KINJO, Tsukasa, OHTA, Takao
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 2003; Berlin Springer Nature B.V
• Subjects: Acute Disease; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Child; Emergency and intensive respiratory care; Extracorporeal Membrane Oxygenation; Humans; Intensive care medicine; Male; Medical sciences; Mycoplasma pneumoniae; Pneumonia, Mycoplasma - complications; Respiratory Insufficiency - etiology; Respiratory Insufficiency - therapy; Syndrome; Chromosomal aberration; Acute respiratory distress syndrome; Membrane oxygenator; Intensive care; Extracorporeal membrane oxygenation; Mycosis; Mycoplasma pneumoniae; Aneuploidy; Mollicutes; Mycoplasmatales; Etiology; Bacteria; Respiratory distress; Child; Human; Respiratory disease; Acute; Down syndrome; Extracorporeal circuit; Congenital disease; Mycoplasmataceae; Infection; Case study; Treatment; Mycoplasma pneumoniae infection
• ISSN: 0340-6199; 1432-1076
• DOI: 10.1007/s00431-002-1057-y

A 7-year-old boy with Down syndrome developed severe acute respiratory distress syndrome after a respiratory infection with Mycoplasma pneumoniae with an unusually high agglutination titre (1:10240). Initially, mechanical ventilation and nitric oxide inhalation were used, but these did not improve the alveolar-arterial oxygen gradient. Extracorporeal membrane oxygenation for 152 h improved the lung condition. our case suggests that Mycoplasma pneumoniae should be considered as an aetiological agent in acute respiratory distress syndrome. Extracorporeal membrane oxygenation might have a valuable role in the management.