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

Abstract

Objective: To describe features of some blood testing and X-ray of cases of atypical pneumonia
M. pneumoniae, C. pneumoniae và L. pneumophila in patients from 12 months to 15 years of age at Vietnam National Children’s Hospital in 2014. Subject and method: It is a descriptive study on a series of 215 cases of atypical bacterial pneumonia at Vietnam National Children’s Hospital. Multiplex PCR and enzyme-linked immunosorbent assay were used to detect M. pneumoniae, C. pneumoniae and L. pneumophila in those specimens. Result: There are 215 cases of atypical pneumonia with features of blood testing and X-ray as follow: Peripheral blood testing: CRP increases 74.14%, white blood cells increases 77.67%; mild anemia 44.65%, average anemia 46.98%, severe anemia 7.44%. There is no statistical difference in the increasing in CRP, white blood and level of anemia between dullness atypical pneumonia group and co-infection group (p>0.05). X-ray image: Pathchy infiltration 51.63%, consolidation 31.16%, interstitial infiltrations 9.3%, Pleuro - pneumonia 7.91%. There is difference in consolidation and pleuro - pneumonia between atypical pneumonia group and co-infection group (p<0.05). Conclusion: In atypical bacterial pneumonia, most of patients present an increasing of CRP and white blood cells, mild anemia and consolidation.