title: Early Mycoplasma pneumoniae infection presenting as multiple pulmonary masses: an unusual presentation in a child.
abstract: Mycoplasma pneumoniae is a major cause of community-acquired pneumonia. Because most children are not imaged prior to onset of clinical symptoms, the appearance of early Mycoplasma infection has not been extensively studied. We present the case of an 11-year-old boy with large pulmonary masses incidentally detected during spine MRI evaluation for scoliosis. Eight days later, the patient developed acute respiratory symptoms, and the masses seen previously had evolved into a diffuse bronchiolitis. Diagnostic testing identified Mycoplasma pneumoniae as the likely etiology. We briefly review chest CT findings of infection by Mycoplasma and compare them to this unusual presentation of Mycoplasma pneumonia with subclinical imaging findings.
authors.affiliation: Department of Radiology, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Yang
authors.forename: Talissa
authors.initials: T
authors.lastname: Altes
authors.forename: Sudha A
authors.initials: SA
authors.lastname: Anupindi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017963:Azithromycin / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D011019:Pneumonia, Mycoplasma / Q000175:diagnosis* / Q000188:drug therapy; D012600:Scoliosis / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D017963:Azithromycin