Case Reports
Dramatic response to high dose steroids in refractory and severe Mycoplasma pneumonia
Authors:
Dilshan Priyankara ,
National hospital of Sri Lanka, LK
About Dilshan
Consultant, Critical Care Medicine
Eranda Sanjeewa,
National hospital of Sri Lanka, LK
About Eranda
Senior Registrar, Critical Care Medicine
Aruna Gunapala,
National hospital of Sri Lanka, LK
About Aruna
Consultant Physician
Edirisooriya Maddumage Manoj
National hospital of Sri Lanka, LK
About Edirisooriya Maddumage
Consultant, Critical Care Medicine
Abstract
M. pneumoniae infection usually causes self-limiting disease. Rarely it can lead to severe life-threatening pneumonia or refractory infection. Excessive cell mediated immune response to infection thought to be the mechanism of refractory and severe mycoplasma pneumonia. IL-8 is thought to play a part in severe and refractory mycoplasma infections. Furthermore, serum LDH has shown to be a marker of severe and refractory disease. However, the relationship and the mechanism of raised LDH and IL-18 are not clearly explained in the literature. There were several case studies showing benefit of steroids among children with severe and refractory mycoplasma pneumonia. We report a case of a young man who developed severe and refractory mycoplasma pneumonia who showed a dramatic response to steroids.
How to Cite:
Priyankara, D., Sanjeewa, E., Gunapala, A. and Manoj, E.M., 2020. Dramatic response to high dose steroids in refractory and severe Mycoplasma pneumonia. Sri Lankan Journal of Anaesthesiology, 28(1), pp.55–58. DOI: http://doi.org/10.4038/slja.v28i1.8522
Published on
06 Feb 2020.
Peer Reviewed
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