Clinical Analysis of 179 Cases of Mycoplasma Pneumoniae Pneumonia in Adults
Abstract
Objective: To investigate the clinical features, diagnosis and treatment outcomes of Mycoplasma pneumoniae pneumonia in adults. Methods: The clinical data of 179 adult patients with Mycoplasma pneumoniae pneumonia who were diagnosed and treated in the Department of Respiratory Medicine of our hospital from January 2023~December 2023 were retrospectively analyzed. Re-sults: Among the 179 patients with Mycoplasma pneumoniae pneumonia, 87 (48.6%) were males and 92 (51.3%) were females. There were 149 cases (83.2%) aged ≤ 65 years and 30 cases (16.8%) aged > 65 years. There were 133 patients (74.3%) with fever and 172 patients (96.1%) with cough, and the chest CT changes were mainly scattered spots and patchy blurred shadows, some of which showed ground-glass opacities and consolidation shadows, with unilateral lesions in 87 cases (48.6%) and bilateral lesions in 92 cases (51.4%), often involving multiple lobes. There were 40 cases (22.3%) with peripheral white blood cell count higher than normal, 99 cases (55.3%) with neutrophil higher than normal, and 119 cases (66.4%) with elevated C-reactive protein. Sputum culture and targeted sequencing of pathogenic microorganisms showed that there were mixed bacterial infections (30 cases) and viral infections (21 cases), a total of 51 cases (28.5%). All patients were treated with moxifloxacin or levofloxacin anti-infective, and co-infected patients were treated in combination with related pathogens, and the prognosis was good.…
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