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Svær atypisk pneumoni med fund af makrolidresistent Mycoplasma pneumoniae

Bilateral Mycoplasma-pneumoni med vattede infiltrative forandringer. A. Frontalplan. B. Sagittalplan.
Forfatter(e)

Anne Sofie Bruno Pedersen, Lars Østergaard & Sanne Jespersen

Infektionsmedicinsk Afdeling, Aarhus Universitetshospital Ugeskr Læger 2018;180:V02180101

Reference: 
Ugeskr Læger 2018;180:V02180101
Blad nummer: 
Sidetal: 
2-3
Severe atypical pneumonia with macrolide-resistant Mycoplasma pneumoniae

This is a case report of a 47-year-old woman, who was admitted to hospital, due to severe cough and fever. A chest X-ray showed bilateral infiltrates, and sputum was found positive for Mycoplasma pneumoniae. She received treatment with intravenous clarithromycin but did not recover. After ten days macrolide-resistant M. pneumoniae was found in a throat swab. Moxifloxacin was administered, and she recovered quickly afterwards. Macrolide-resistant M. pneumoniae is an increasing problem and should be suspected, when there is no clinical effect on macrolides. Quinolones or tetracyclines may be used, when macrolide-resistant M. pneumoniae is detected.

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