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Mycoplasma pneumoniae is recognized as an important agent of pneumonia in pediatric population. In rare situations, severe pulmonary injury can develop. The use of corticoids in these cases remains controversial. A case of a girl with acute respiratory distress syndrome and bilateral pleural effusion secondary to pneumonia due to Mycoplasma pneumoniae is described, with good recovery after appropriate use of methylprednisolone and clarythromicyn.
Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin
AlmeidaJFL, StapeA, TrosterEJ. Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin. Einstein (Sao Paulo). 2011;9(3):386-8. https://doi.org/10.1590/S1679-45082011RC1764
Almeida,João Fernando Lourenço de; Stape,Adalberto; Troster,Eduardo Juan. Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin. Einstein (Sao Paulo)., v. 9, n. 3, p. 386-388, Jul. 2011. https://doi.org/10.1590/S1679-45082011RC1764
Almeida,J.F.L. , Stape,A., & Troster,E.J. (2011). Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin. Einstein (Sao Paulo).,9(3), 386-388. https://doi.org/10.1590/S1679-45082011RC1764
Almeida,João Fernando Lourenço de and Stape,Adalberto and Troster,Eduardo Juan. Acute respiratory distress syndrome caused by Mycoplasma pneumoniae in a child: the role of methylprednisolone and clarythromycin. Einstein (Sao Paulo). [online]. 2011, vol. 9, n. 3, [cited 2025-09-26], pp.386-388. Available from: <https://journal.einstein.br/article/acute-respiratory-distress-syndrome-caused-by-mycoplasma-pneumoniae-in-a-child-the-role-of-methylprednisolone-and-clarythromycin/>. ISSN 1679-4508. https://doi.org/10.1590/S1679-45082011RC1764
Figure 2
Correlation between PEEP (cmH2O) and PaO2/FiO2 (mmHg). Red line: initiation of clarithromycin. Orange line: initiation of corticosteroids