title: [Mycoplasma-related pneumonia: a rare cause of acute respiratory distress syndrome (ARDS) and of potential antibiotic resistance].
abstract: BACKGROUND
  Acute respiratory distress syndrome caused by Mycoplasma pneumoniae infection has rarely been described.
  
  
  METHODS
  We report a case of community-acquired pneumonia occurring in a patient with Down's syndrome. Persisting hypoxemia raised the questions of nosocomial pneumonia, of the occurrence of a fibrosing alveolitis or of the resistance of the strain to macrolides. After a long period of very severe respiratory impairment, the evolution was progressively favourable and the patient was discharged from ICU with full respiratory recovery 43 days after admission.
  
  
  CONCLUSIONS
  Acute respiratory distress syndrome caused by M. pneumoniae infection is rare but must be considered when the appropriate clinical and radiological pattern occurs. The question of the susceptibility of the strain to macrolides has to be raised in some circumstances.
authors: Réanimation médicale, hôpital Antoine-Béclère, Assistance publique-Hôpitaux de Paris, université Paris Sud, 157, rue de la porte de Trivaux, 92140 Clamart, France. benjamin.sztrymf@abc.aphp.fr
authors: B
authors: B
authors: Sztrymf
authors: F
authors: F
authors: Jacobs
authors: J
authors: J
authors: Fichet
authors: O
authors: O
authors: Hamzaoui
authors: D
authors: D
authors: Prat
authors: A
authors: A
authors: Avenel
authors: C
authors: C
authors: Richard
mesh_terms: D000328:Adult; D017714:Community-Acquired Infections / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D004314:Down Syndrome / Q000150:complications / Q000000981:diagnostic imaging; D004352:Drug Resistance, Microbial / Q000502:physiology; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D009177:Mycoplasma pneumoniae / Q000502:physiology; D011019:Pneumonia, Mycoplasma / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*