A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult
A 19-year-old woman was referred to our hospital because of a persistent fever and cough that lasted for over a week. Influenza B virus infection was diagnosed using the rapid test kit. Initially, the patient was diagnosed with influenza B infection associated with lobar pneumonia and treated with a...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Infectious Diseases |
Online Access: | http://dx.doi.org/10.1155/2018/3529358 |
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author | Taro Shinozaki Kotaro Sasahara Eri Iwami Aoi Kuroda Tatsu Matsuzaki Takahiro Nakajima Takeshi Terashima |
author_facet | Taro Shinozaki Kotaro Sasahara Eri Iwami Aoi Kuroda Tatsu Matsuzaki Takahiro Nakajima Takeshi Terashima |
author_sort | Taro Shinozaki |
collection | DOAJ |
description | A 19-year-old woman was referred to our hospital because of a persistent fever and cough that lasted for over a week. Influenza B virus infection was diagnosed using the rapid test kit. Initially, the patient was diagnosed with influenza B infection associated with lobar pneumonia and treated with an anti-influenza virus drug and sulbactam/ampicillin. The patient’s fever persisted, and her respiratory condition worsened. On day 5, a computed tomography (CT) scan revealed an extension of the consolidation areas in the left lung and new opacities in the right lung. The antibiotic treatment was changed to meropenem and levofloxacin, and the patient’s physical condition gradually improved. A sputum sample revealed the presence of Mycoplasma pneumoniae-specific DNA. Both influenza B virus and M. pneumoniae infections were confirmed serologically. This was a case of coinfection with influenza B virus and M. pneumoniae in a healthy young woman. The M. pneumoniae pneumonia diagnosis was delayed because the predominant feature observed in the CT scan was dense consolidation. M. pneumoniae should be considered as one of the causative pathogens in influenza coinfection cases with CT scan images presenting dense consolidation. |
format | Article |
id | doaj-art-5bd80d7484d7442db765a70328e64db3 |
institution | Kabale University |
issn | 2090-6625 2090-6633 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Infectious Diseases |
spelling | doaj-art-5bd80d7484d7442db765a70328e64db32025-02-03T01:11:30ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/35293583529358A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an AdultTaro Shinozaki0Kotaro Sasahara1Eri Iwami2Aoi Kuroda3Tatsu Matsuzaki4Takahiro Nakajima5Takeshi Terashima6Department of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, 5-11-13, Sugano, Ichikawa, Chiba 272-0824, JapanA 19-year-old woman was referred to our hospital because of a persistent fever and cough that lasted for over a week. Influenza B virus infection was diagnosed using the rapid test kit. Initially, the patient was diagnosed with influenza B infection associated with lobar pneumonia and treated with an anti-influenza virus drug and sulbactam/ampicillin. The patient’s fever persisted, and her respiratory condition worsened. On day 5, a computed tomography (CT) scan revealed an extension of the consolidation areas in the left lung and new opacities in the right lung. The antibiotic treatment was changed to meropenem and levofloxacin, and the patient’s physical condition gradually improved. A sputum sample revealed the presence of Mycoplasma pneumoniae-specific DNA. Both influenza B virus and M. pneumoniae infections were confirmed serologically. This was a case of coinfection with influenza B virus and M. pneumoniae in a healthy young woman. The M. pneumoniae pneumonia diagnosis was delayed because the predominant feature observed in the CT scan was dense consolidation. M. pneumoniae should be considered as one of the causative pathogens in influenza coinfection cases with CT scan images presenting dense consolidation.http://dx.doi.org/10.1155/2018/3529358 |
spellingShingle | Taro Shinozaki Kotaro Sasahara Eri Iwami Aoi Kuroda Tatsu Matsuzaki Takahiro Nakajima Takeshi Terashima A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult Case Reports in Infectious Diseases |
title | A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult |
title_full | A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult |
title_fullStr | A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult |
title_full_unstemmed | A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult |
title_short | A Case of Influenza B and Mycoplasma pneumoniae Coinfection in an Adult |
title_sort | case of influenza b and mycoplasma pneumoniae coinfection in an adult |
url | http://dx.doi.org/10.1155/2018/3529358 |
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