Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1979 Jul;54(7):506–511. doi: 10.1136/adc.54.7.506

Mycoplasma pneuminia infection. A follow-up study of 50 children with respiratory illness.

J Y Mok, P R Waugh, H Simpson
PMCID: PMC1545461  PMID: 485193

Abstract

Fifty children with a previous history of Mycoplasma pneumoniae respiratory tract infection were assessed clinically, and pulmonary function tests carried out after an interval ranging from 1 1/2 to 9 1/2 years (median 2 1/2). 23 suffered from recurrent wheezy bronchitis or asthma, and in 5 the index illness appeared to precipitate the wheezing tendency. All were symptom-free when respiratory function tests were performed. Simple tests of ventilatory function (PEFR, FEV, and FVC) were within normal limits. Increased bronchial reactivity after exercise (a fall in PEFR greater than 15% resting value) was demonstrated only in children known to have asthma. Maximum expiratory flow rates in air at 50% of vital capacity (V mas50) were within the normal range in all patients with the exception of two. The response in flow rate at 50% of vital capacity after inalation of an 80% helium and 20% oxygen mixture delta V max50) was reduced (P less than 0.001) in asymptomatic patients with a history of M. pneumoniae respiratory infection, when compared with normal data from 48 healthy schoolchildren without a background of significant respiratory illnesses. These findings indicate impairment of small airways function, even in totally symptom-free children in the study group.

Full text

PDF
506

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BAERNSTEIN H. D., Jr, TREVISANI E., AXTELL S., QUILLIGAN J. J., Jr MYCOPLASMA PNEUMONIAE (EATON ATYPICAL PNEUMONIA AGENT) IN CHILDREN'S RESPIRATORY INFECTIONS. J Pediatr. 1965 May;66:829–837. doi: 10.1016/s0022-3476(65)80057-9. [DOI] [PubMed] [Google Scholar]
  2. BERVEN H. Studies on the cardiopulmonary function in the post-infectious phase of "atypical" pneumonia. Acta Med Scand Suppl. 1962;382:1–78. [PubMed] [Google Scholar]
  3. Berkovich S., Millian S. J., Snyder R. D. The association of viral and mycoplasma infections with recurrence of wheezing in the asthmatic child. Ann Allergy. 1970 Feb;28(2):43–49. [PubMed] [Google Scholar]
  4. Despas P. J., Leroux M., Macklem P. T. Site of airway obstruction in asthma as determined by measuring maximal expiratory flow breathing air and a helium-oxygen mixture. J Clin Invest. 1972 Dec;51(12):3235–3243. doi: 10.1172/JCI107150. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dierckx J. P., Gillard C. The results of pulmonary function tests in patients infected with Mycoplasma pneumoniae. Infection. 1976;4(1 Suppl):68–70. doi: 10.1007/BF01638429. [DOI] [PubMed] [Google Scholar]
  6. Dosman J., Bode F., Urbanetti J., Martin R., Macklem P. T. The Use of a Helium-Oxygen Mixture during Maximum Expiratory Flow to Demonstrate Obstruction in Small Airways in Smokers. J Clin Invest. 1975 May;55(5):1090–1099. doi: 10.1172/JCI108010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fernald G. W., Collier A. M., Clyde W. A., Jr Respiratory infections due to Mycoplasma pneumoniae in infants and children. Pediatrics. 1975 Mar;55(3):327–335. [PubMed] [Google Scholar]
  8. Glezen W. P., Thornburg G., Chin T. D., Wenner H. A. Significance of mycoplasma infections in children with respiratory disease. Pediatrics. 1967 Apr;39(4):516–525. [PubMed] [Google Scholar]
  9. Kjellman B. Pulmonary function in children with Mycoplasma pneumoniae pneumonia. Infection. 1976;4(1 Suppl):71–74. doi: 10.1007/BF01638430. [DOI] [PubMed] [Google Scholar]
  10. Macklem P. T. Obstruction in small airways--a challenge to medicine. Am J Med. 1972 Jun;52(6):721–724. doi: 10.1016/0002-9343(72)90077-0. [DOI] [PubMed] [Google Scholar]
  11. Milner A. D., Ingram D. Peak expiratory flow rates in children under 5 years of age. Arch Dis Child. 1970 Dec;45(244):780–782. doi: 10.1136/adc.45.244.780. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Silverman M., Anderson S. D. Standardization of exercise tests in asthmatic children. Arch Dis Child. 1972 Dec;47(256):882–889. doi: 10.1136/adc.47.256.882. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Sims D. G., Downham M. A., Gardner P. S., Webb J. K., Weightman D. Study of 8-year-old children with a history of respiratory syncytial virus bronchiolitis in infancy. Br Med J. 1978 Jan 7;1(6104):11–14. doi: 10.1136/bmj.1.6104.11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Stevens D., Swift P. G., Johnston P. G., Kearney P. J., Corner B. D., Burman D. Mycoplasma pneumoniae infections in children. Arch Dis Child. 1978 Jan;53(1):38–42. doi: 10.1136/adc.53.1.38. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. WRIGHT B. M., McKERROW C. B. Maximum forced expiratory flow rate as a measure of ventilatory capacity: with a description of a new portable instrument for measuring it. Br Med J. 1959 Nov 21;2(5159):1041–1046. doi: 10.1136/bmj.2.5159.1041. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES