Tuesday, August 7, 2012

Pneumonia and mycoplasma pneumonia and clinical manifestation _ symptom

Pneumonia and mycoplasma pneumonia and clinical manifestation _ symptom
1.Incubation period
About 2-3 weeks (8- 35 day) .
2.Symptom
The weight differs. Get up disease to be very worried mostly, have, generate heat, apocleisis, cough, fear cold, have a headache, swallow, ache, brestbone down symptoms such as pain,etc.. The body temperature is at 37-41 , about great majority at 39 , it can be a sex of continuation or relaxation, or only have low-heat, do not even generate heat. The majority coughs heavily, initial dry cough, then secrete the phlegm liquid (include a small amount of blood silks occasionally) ,Burst coughs and like whooping cough slightly sometimes. Accidental disgusting, vomiting and transient spot papule or urticaria. Not generally having dyspneal manifestation, but baby's patient can stridulate and have difficulty in breathing. Physical sign depends on age, often lack prominent chest physical sign annual and long, the infancy percussion can have the slight voiced sound, the respiration reduces the north, there are wet rales, can present obstructing physical sign of pulmonary emphysema sometimes. When the sickle cell anemia infant erupts this kind of pneumonia simultaneously, symptom is often aggravated, it is obvious dyspnea, chest ache and the thorax accumulates the liquid. Pneumonia of mycoplasma is even can amalgamate exudative pleurisy and lung abscess, chronic lung illness, with concerning certainly among the pneumonia mycoplasma, Berkwick(1970) Reporting to has growth of 4 times to reply one in 27 cases of asthma children. Mycoplasma pneumonia can accompany, take place many system, many organ damage, respiratory tract exterior pathological change can involve the mucous membrane of skin, shown as measles kind or scarlet fever one kind of rashes, StevensJohnson syndrome,etc.; Accidental non- specific myalgia and visit moving arthralgia; The gastrointestinal system can be seen and spat, rushes down and the liver work is damaged; Systematic respect of the blood relatively dissolves courageous and upright anaemia commonly, we have seen 2 in order to dissolve courageous and upright anaemia for firsting publish and main suit symptom; Gentle multiple radiculitis, meninx encephalitis and little brain injury,etc.; Cardiovascular system pathological change has myocarditis and pericarditis occasionally. Bacterial mixing feels also rare. Leucocyte level differs, mostly normal, a bit high sometimes. Erythrocyte sedimentation rate reveals medium-sized degree is increased fast.
3.X-ray examination
Show as more single the intersection of side and pathological change, account for 80% more than, great majority on the bottom leaves, only increase weight for the door shade of lung sometimes, the majority can not take the form of neatly the vaporific lung of cloud, wild from epitaxy to lung, it is common to regard lower leaf of two lungs as particularly, minority are the big leaf consolidation shadow. Can be seen the lung one. Often one are dissipated and the elsewhere has new infiltration that take place. It take the form of sometimes it fill the air dual side it is netted or last shade tubercle kind or among behave pneumonia quality, not with the lung section or consolidation of lobe of the lung. The intersection of physical sign and slight and the intersection of chest and scenes of prominent shade, copies of the intersection of disease and the intersection of disease and characteristic one of.
4.Course of disease
Count, great majority in 8 - bring down a fever 12 day, take 1- 2 week convalescence to 2- 4 week natural course of disease. The X-ray shade totally disappears, it is long to lengthen this for 2- 3 week even more more than symptom. Can be seen and recur occasionally.
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