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Reading: Dramatic response to high dose steroids in refractory and severe Mycoplasma pneumonia

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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
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Eranda Sanjeewa,

National hospital of Sri Lanka, LK
About Eranda
Senior Registrar, Critical Care Medicine
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Aruna Gunapala,

National hospital of Sri Lanka, LK
About Aruna
Consultant Physician
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Edirisooriya Maddumage Manoj

National hospital of Sri Lanka, LK
About Edirisooriya Maddumage
Consultant, Critical Care Medicine
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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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