肺炎支原体感染致皮肤表现86例

目的探讨儿童肺炎支原体(MP)感染致皮肤损害的特点。方法感染患儿506例,采用间接免疫荧光法进行5种病原体联检。观察血清MP-IgM阳性伴皮肤损害患儿的临床资料。结果 506例MP-IgM阳性患儿中,86例在呼吸道感染的基础上伴皮肤损害,其中表现荨麻疹样皮疹36例,红斑或斑丘疹20例,猩红热样皮疹13例,紫癜样皮疹8例,麻疹样皮疹6例,水疱疹3例。阿奇霉紊针静脉滴注3～5d,之后换用罗红霉素口服2～3周,皮疹均在数小时至14d内消失,预后好。结论 MP感染不仅是呼吸道感染的重要病原体,也可致皮肤损害,呼吸道感染并有皮肤损害的病例,要考虑到MP感染的可能。

86 cases with rash in children hospitalized and mycoplasma pneumoniae pathogen infection(MP)

Objective To discuss the rash of children who suffer from MP infection. Methods There are 506 cases after we detect five pathogens by indirect immunofluorescence.We observe clinical informationwhose MP-IgM is positive companied with rash. Results In the 5o6 children who infected with MP,there are 68 cases suffreing from rash.,such as rash like hives（36）, erythema or maculopapule（20）, scarlatina（13）, purpuric erythra（8）, measles（6）, wheal（3）. All invalids receive treament with Azithromycin by intravenous drip for 3-5 days,then receive treament with oral roxithromycin for 2-3weeks. All rash fade away within several hours-14 days,followed by favourable prognosis. Conclusion MP is not only main pathogen of respiratory tract but also the cause of tetter. Clinician should consider it possible to infect MP when patient has symptoms of respiratory passage and skin.