A 7-year-old boy with mycoplasmal infection requiring extracorporeal membrane oxygenation.
A 7-year-old boy with Down syndrome developed severe acute respiratory distress syndrome after a respiratory infection with Mycoplasma pneumoniae with an unusually high agglutination titre (1:10240). Initially, mechanical ventilation and nitric oxide inhalation were used, but these did not improve the alveolar-arterial oxygen gradient. Extracorporeal membrane oxygenation for 152 h improved the lung condition.


CONCLUSIONS
our case suggests that Mycoplasma pneumoniae should be considered as an aetiological agent in acute respiratory distress syndrome. Extracorporeal membrane oxygenation might have a valuable role in the management.
Yoshida
Tomohide
T
Department of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan.
Asato
Yoshihide
Y
Kukita
Ichiro
I
Ooshiro
Masakatu
M
Takara
Itaru
I
Iha
Hiroshi
H
Sugahara
Kazuhiro
K
Kinjo
Tsukasa
T
Ohta
Takao
T
D000208:Acute Disease; D002648:Child; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D009177:Mycoplasma pneumoniae; D011019:Pneumonia, Mycoplasma / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D013577:Syndrome