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Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report

Mycoplasma pneumoniae (MP) is a common etiologic agent involved in community-acquired atypical bacterial pneumonia. In severe cases, M. pneumoniae can cause cavitated lung lesions. We describe the case of a 55-year-old male seen at the emergency department with complaints of cough, fever, dyspnea, p...

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Autores principales: Campos, Ana Luísa, Gonçalves, Filipa Madalena F, Costa, Magda, Alves, Glória, Cotter, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757645/
https://www.ncbi.nlm.nih.gov/pubmed/36540488
http://dx.doi.org/10.7759/cureus.31572
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author Campos, Ana Luísa
Gonçalves, Filipa Madalena F
Costa, Magda
Alves, Glória
Cotter, Jorge
author_facet Campos, Ana Luísa
Gonçalves, Filipa Madalena F
Costa, Magda
Alves, Glória
Cotter, Jorge
author_sort Campos, Ana Luísa
collection PubMed
description Mycoplasma pneumoniae (MP) is a common etiologic agent involved in community-acquired atypical bacterial pneumonia. In severe cases, M. pneumoniae can cause cavitated lung lesions. We describe the case of a 55-year-old male seen at the emergency department with complaints of cough, fever, dyspnea, pleuritic chest pain, nausea, anorexia, asthenia, and night sweats. Cavitated lesions in the upper lobes of both lungs were documented on thoracic computed tomography (CT). An extensive investigation ruled out several infectious and non-infectious causes. The only positive result was a high immunoglobulin M (IgM) titer for M. pneumoniae. The patient was treated with azithromycin and exhibited rapid clinical improvement. Three months later, a repeat thoracic computed tomography showed the resolution of the cavitated lesions. In this rare case of M. pneumoniae pneumonia with cavitated lesions, early identification of the etiologic agent and prompt antibiotic therapy led to the resolution of the cavitated lung lesions.
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spelling pubmed-97576452022-12-19 Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report Campos, Ana Luísa Gonçalves, Filipa Madalena F Costa, Magda Alves, Glória Cotter, Jorge Cureus Internal Medicine Mycoplasma pneumoniae (MP) is a common etiologic agent involved in community-acquired atypical bacterial pneumonia. In severe cases, M. pneumoniae can cause cavitated lung lesions. We describe the case of a 55-year-old male seen at the emergency department with complaints of cough, fever, dyspnea, pleuritic chest pain, nausea, anorexia, asthenia, and night sweats. Cavitated lesions in the upper lobes of both lungs were documented on thoracic computed tomography (CT). An extensive investigation ruled out several infectious and non-infectious causes. The only positive result was a high immunoglobulin M (IgM) titer for M. pneumoniae. The patient was treated with azithromycin and exhibited rapid clinical improvement. Three months later, a repeat thoracic computed tomography showed the resolution of the cavitated lesions. In this rare case of M. pneumoniae pneumonia with cavitated lesions, early identification of the etiologic agent and prompt antibiotic therapy led to the resolution of the cavitated lung lesions. Cureus 2022-11-16 /pmc/articles/PMC9757645/ /pubmed/36540488 http://dx.doi.org/10.7759/cureus.31572 Text en Copyright © 2022, Campos et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Campos, Ana Luísa
Gonçalves, Filipa Madalena F
Costa, Magda
Alves, Glória
Cotter, Jorge
Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title_full Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title_fullStr Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title_full_unstemmed Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title_short Mycoplasma pneumoniae Infection With Cavitated Lung Lesions: A Case Report
title_sort mycoplasma pneumoniae infection with cavitated lung lesions: a case report
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757645/
https://www.ncbi.nlm.nih.gov/pubmed/36540488
http://dx.doi.org/10.7759/cureus.31572
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