title: A 7-year-old boy with mycoplasmal infection requiring extracorporeal membrane oxygenation.
abstract: 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.
authors.affiliation: Department of Paediatrics, Faculty of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0125 Japan.
authors.forename: Tomohide
authors.initials: T
authors.lastname: Yoshida
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Asato
authors.forename: Ichiro
authors.initials: I
authors.lastname: Kukita
authors.forename: Masakatu
authors.initials: M
authors.lastname: Ooshiro
authors.forename: Itaru
authors.initials: I
authors.lastname: Takara
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iha
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Sugahara
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Kinjo
authors.forename: Takao
authors.initials: T
authors.lastname: Ohta
mesh_terms: 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