Clinical Analysis of Mycoplasma Pneumonia Misdiagnosed as Cough Variant Asthma
LIU Hai-yan
LI Jing
TIE Ying-chun
WANG Ling
Abstract：Objective To investigate the misdiagnosis causes and preventive measures of children with misdiagnosed as cough variant asthma(CVA). Methods A total of 6 children with mycoplasma pneumonia misdiagnosed as CVA were en-rolled in the study of 86 cases of mycoplasma pneumonia in our hospital from May 2012 to January 2017. The clinical data were retrospectively analyzed. Results Misdiagnosis rate was 6.98%. Due to fever,cough and sputum,occasional breath-ing shortness of breath in 2 cases,and due to fever,with cough,chest tightness and wheezing discomfort in 1 case,and due to repeated fever,cough,shortness of breath,chest tightness and wheezing discomfort in 3 cases. Mycoplasma pneumonia was misdiagnosed as CVA. The mean misdiagnosis time was 3-10 days. All children were diagnosed as mycoplasma pneumonia by mycoplasma etiology. They were given Azithromycin combined with Methylprednisolone and other drugs symptomatic treatment after diagnosis,15-20 d after the condition was significantly improved after discharge. The follow-up time was 1 to 3 months after discharge,and all the children had a good prognosis during the follow-up period. Conclusion Mycoplasma pneumonia lacks specific clinical chest imaging findings, and is easy to be misdiagnosed. Clinicians should strengthen the awareness of mycoplasma pneumonia and knowledge of the disease-related knowledge and understanding,reduce or avoid misdiagnosis and mistreatment.
Keywords：PneumoniamycoplasmaChildMisdiagnosisAsthma
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 33-35 )