title: Acute respiratory distress syndrome caused by Mycoplasma pneumoniae without elevated pulmonary vascular permeability: a case report.
abstract: Sporadic patients with acute respiratory distress syndrome (ARDS) caused by Mycoplasma pneumoniae have been reported. However, knowledge about the pathophysiology and pharmacological treatment of this condition is insufficient. Moreover, the pulmonary vascular permeability in ARDS related to M. pneumoniae infection has not been reported. We report a case of ARDS caused by Mycoplasma pneumoniae without elevated pulmonary vascular permeability, which was successfully treated using low-dose short-term hydrocortisone, suggesting that pulmonary infiltration in ARDS caused by Mycoplasma pneumoniae does not match the criteria of permeability edema observed in typical ARDS.
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Takahashi
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shinohara
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Rie
authors.initials: R
authors.lastname: Oi
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Muneyuki
authors.initials: M
authors.lastname: Ota
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Toriumi
authors.affiliation: 1 Division of Pulmonary Medicine, 2 Department of Clinical Investigation, 3 Division of Anesthesiology, National Hospital Organization Kochi Hospital, Kochi 780-8077, Japan.
authors.forename: Fumitaka
authors.initials: F
authors.lastname: Ogushi
keywords: Mycoplasma pneumoniae; acute respiratory distress syndrome (ARDS); corticosteroid treatment; pulmonary vascular permeability index (PVPI); transpulmonary thermodilution technique