急性咽頭炎で発症したマイコプラズマ肺炎

概要

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Two cases of Mycoplasma pneumoniae pneumonia, which were first diagnosed as acute nasopharyngitis and acute pharyngo-laryngitis by an ENT doctor, were presented. The characteristics of the cases were as follows:1) The chief complaints were sore throat, intermittent fever and ear fullness.2) Diffuse inflammation of the upper respiratory tract was noticed. One patient had a strong inflammation of the nasopharynx and it looked like a nasopharyngeal tumor. Whitish coating covered on the nasopharyngeal inflammatory site.3) One patient had a tubal stenosis, and the other one had acute otitis media. Hearing examinations of the two cases showed a conductive deafness with a stiffness curve.4) Paracenthesis of the tympanic membrane was carried out on the acute otitis media case. A milky and sereous middle ear effusions was found in the middle ear cavity.5) Many kinds of examinations were carried out to make the correct diagnosis. Rising titers of blood coagulutiation were discovered, and sera tested for complement fixation antibodies was extremly elevated. From these results, the two cases were diagnosed as M. pneumoniae infection.6) Although patients were treated with many antibiotics, aminobenzylpenicillin, cephalosporin and aminoglycoside, they were not cured. Tetracyclin and clindamycin were very effective.