Đặc điểm lâm sàng viêm phổi không điển hình do vi khuẩn ở trẻ em tại Bệnh viện Nhi Trung ương năm 2014

Abstract

To describe clinical features of simple atypical bacterial pneumonia due to M. pneumoniae, C. pneumoniae and L. pneumophila in children from 12 months to 15 years old at Vietnam National Children’s Hospital in 2014. Subject and method: The study was conducted on a series of 215 cases with atypical pneumonia at Vietnam National Children’s Hospital Multiplex PCR and enzyme-linked immunosorbent assay were used to to detect M. pneumoniae, C. pneumoniae and L. pneumophila in those specimens. Result: There are 215 patients acquiring atypical bacterial pneumonia due to M. pneumoniae,
C. pneumoniae và L. pneumophila. The simple atypical pneumonia have 144 patients, with some clinical features as follow: Dynamics: Most of patients have cough (100%), fever (85.71% - 94.57%), wheezing (50% - 65.12%). Physical features: Moist rales (37.5% - 71.3%), rhonchy rales (42.86% - 55.81%), no finding in many cases when physical exams. Other manifestations: Anorexia (57.14% - 79.84%), sore throat (78.29% - 85.71%). Conclusion: Signs of physical and dynamics features in simles atypical pneumonia are quite diverse and non-specific, including fever, cough, anorexia, sore throat, moist rales, crackles rales and rhonchy rales. No finding in many cases when physical exams that make false in diagnosis