Mycoplasma pneumoniae pneumonia in the elderly
Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia (CAP). This infection occurs predominantly in school-aged children and younger adults, but may also occur in the elderly. To investigate the frequency and clinical characteristics of M. pneumoniae pneumonia in the...
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| Veröffentlicht in: | Medical science monitor 2008-08, Vol.14 (8), p.CR387-CR391 |
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| container_title | Medical science monitor |
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| creator | Miyashita, Naoyuki Ouchi, Kazunobu Kawasaki, Kozo Oda, Keiko Kawai, Yasuhiro Shimizu, Hiroki Kobashi, Yoshihiro Oka, Mikio |
| description | Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia (CAP). This infection occurs predominantly in school-aged children and younger adults, but may also occur in the elderly.
To investigate the frequency and clinical characteristics of M. pneumoniae pneumonia in the elderly, we analyzed 210 hospitalized patients with M. pneumoniae pneumonia over a 15-year period.
Thirty-two (15.2%) were 60 years of age or older. The frequencies of a comorbid illness with the age >or=60-years group were significantly higher than those of the age |
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To investigate the frequency and clinical characteristics of M. pneumoniae pneumonia in the elderly, we analyzed 210 hospitalized patients with M. pneumoniae pneumonia over a 15-year period.
Thirty-two (15.2%) were 60 years of age or older. The frequencies of a comorbid illness with the age >or=60-years group were significantly higher than those of the age <60-years group (p<0.0001). The symptoms were almost identical in both age groups, but the fever magnitude was significantly lower in the age >or=60-years group than the age <60-years group (p<0.0001). One or more additional etiological factors were found more frequently in the age >or=60-years group than in the age <60-years group (37.5% vs 10.1%, p=0.0003). The diagnostic sensitivity for M. pneumoniae pneumonia using the Japanese CAP guidelines scoring system was significantly lower in the age >or=60-years group than in the age <60-years group (50% vs 90%, p <0.0001).
Our results indicate that the frequency of M. pneumoniae pneumonia in the elderly was low but not rare. The symptoms and severity of the illness from this infection were almost identical in both age groups and the mortality rate was low even in the elderly. It seems to be difficult to distinguish between M. pneumoniae pneumonia and bacterial pneumonia in the elderly.]]></description><identifier>EISSN: 1643-3750</identifier><identifier>PMID: 18667994</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Age Distribution ; Aged ; Community-Acquired Infections - epidemiology ; Community-Acquired Infections - microbiology ; Female ; Humans ; Japan - epidemiology ; Male ; Mycoplasma pneumoniae - physiology ; Pneumonia, Mycoplasma - epidemiology ; Pneumonia, Mycoplasma - microbiology</subject><ispartof>Medical science monitor, 2008-08, Vol.14 (8), p.CR387-CR391</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18667994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyashita, Naoyuki</creatorcontrib><creatorcontrib>Ouchi, Kazunobu</creatorcontrib><creatorcontrib>Kawasaki, Kozo</creatorcontrib><creatorcontrib>Oda, Keiko</creatorcontrib><creatorcontrib>Kawai, Yasuhiro</creatorcontrib><creatorcontrib>Shimizu, Hiroki</creatorcontrib><creatorcontrib>Kobashi, Yoshihiro</creatorcontrib><creatorcontrib>Oka, Mikio</creatorcontrib><title>Mycoplasma pneumoniae pneumonia in the elderly</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description><![CDATA[Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia (CAP). This infection occurs predominantly in school-aged children and younger adults, but may also occur in the elderly.
To investigate the frequency and clinical characteristics of M. pneumoniae pneumonia in the elderly, we analyzed 210 hospitalized patients with M. pneumoniae pneumonia over a 15-year period.
Thirty-two (15.2%) were 60 years of age or older. The frequencies of a comorbid illness with the age >or=60-years group were significantly higher than those of the age <60-years group (p<0.0001). The symptoms were almost identical in both age groups, but the fever magnitude was significantly lower in the age >or=60-years group than the age <60-years group (p<0.0001). One or more additional etiological factors were found more frequently in the age >or=60-years group than in the age <60-years group (37.5% vs 10.1%, p=0.0003). The diagnostic sensitivity for M. pneumoniae pneumonia using the Japanese CAP guidelines scoring system was significantly lower in the age >or=60-years group than in the age <60-years group (50% vs 90%, p <0.0001).
Our results indicate that the frequency of M. pneumoniae pneumonia in the elderly was low but not rare. The symptoms and severity of the illness from this infection were almost identical in both age groups and the mortality rate was low even in the elderly. It seems to be difficult to distinguish between M. pneumoniae pneumonia and bacterial pneumonia in the elderly.]]></description><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Community-Acquired Infections - microbiology</subject><subject>Female</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Mycoplasma pneumoniae - physiology</subject><subject>Pneumonia, Mycoplasma - epidemiology</subject><subject>Pneumonia, Mycoplasma - microbiology</subject><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFj01LxDAYhIMg7rr6F6Qnb5U0bz6PsvgFK152zyVp3mIlaWPTHvrvLbjiZWYOzwzMBdlWkkMJStANuc75i1KmJRVXZFNpKZUxfEse3pdmSMHmaIvU4xyHvrP4H4uuL6ZPLDB4HMNyQy5bGzLenn1HTs9Px_1refh4eds_HsrEqJlK46lnHDVXnlOgyhnt2sZjZamwjfTSKgDhALRxbBVQrXCeNp65SkHLYEfuf3fTOHzPmKc6drnBEGyPw5xruVaU0GIF787g7CL6Oo1dtONS_z2EH07_S04</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Miyashita, Naoyuki</creator><creator>Ouchi, Kazunobu</creator><creator>Kawasaki, Kozo</creator><creator>Oda, Keiko</creator><creator>Kawai, Yasuhiro</creator><creator>Shimizu, Hiroki</creator><creator>Kobashi, Yoshihiro</creator><creator>Oka, Mikio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Mycoplasma pneumoniae pneumonia in the elderly</title><author>Miyashita, Naoyuki ; Ouchi, Kazunobu ; Kawasaki, Kozo ; Oda, Keiko ; Kawai, Yasuhiro ; Shimizu, Hiroki ; Kobashi, Yoshihiro ; Oka, Mikio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p209t-9d0d24e847d40307b98bfcde1a05ac6d6a7335b3389b238937f5bd0cd2b173f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Community-Acquired Infections - epidemiology</topic><topic>Community-Acquired Infections - microbiology</topic><topic>Female</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Mycoplasma pneumoniae - physiology</topic><topic>Pneumonia, Mycoplasma - epidemiology</topic><topic>Pneumonia, Mycoplasma - microbiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Miyashita, Naoyuki</creatorcontrib><creatorcontrib>Ouchi, Kazunobu</creatorcontrib><creatorcontrib>Kawasaki, Kozo</creatorcontrib><creatorcontrib>Oda, Keiko</creatorcontrib><creatorcontrib>Kawai, Yasuhiro</creatorcontrib><creatorcontrib>Shimizu, Hiroki</creatorcontrib><creatorcontrib>Kobashi, Yoshihiro</creatorcontrib><creatorcontrib>Oka, Mikio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyashita, Naoyuki</au><au>Ouchi, Kazunobu</au><au>Kawasaki, Kozo</au><au>Oda, Keiko</au><au>Kawai, Yasuhiro</au><au>Shimizu, Hiroki</au><au>Kobashi, Yoshihiro</au><au>Oka, Mikio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mycoplasma pneumoniae pneumonia in the elderly</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2008-08</date><risdate>2008</risdate><volume>14</volume><issue>8</issue><spage>CR387</spage><epage>CR391</epage><pages>CR387-CR391</pages><eissn>1643-3750</eissn><abstract><![CDATA[Mycoplasma pneumoniae is one of the most common causes of community-acquired pneumonia (CAP). This infection occurs predominantly in school-aged children and younger adults, but may also occur in the elderly.
To investigate the frequency and clinical characteristics of M. pneumoniae pneumonia in the elderly, we analyzed 210 hospitalized patients with M. pneumoniae pneumonia over a 15-year period.
Thirty-two (15.2%) were 60 years of age or older. The frequencies of a comorbid illness with the age >or=60-years group were significantly higher than those of the age <60-years group (p<0.0001). The symptoms were almost identical in both age groups, but the fever magnitude was significantly lower in the age >or=60-years group than the age <60-years group (p<0.0001). One or more additional etiological factors were found more frequently in the age >or=60-years group than in the age <60-years group (37.5% vs 10.1%, p=0.0003). The diagnostic sensitivity for M. pneumoniae pneumonia using the Japanese CAP guidelines scoring system was significantly lower in the age >or=60-years group than in the age <60-years group (50% vs 90%, p <0.0001).
Our results indicate that the frequency of M. pneumoniae pneumonia in the elderly was low but not rare. The symptoms and severity of the illness from this infection were almost identical in both age groups and the mortality rate was low even in the elderly. It seems to be difficult to distinguish between M. pneumoniae pneumonia and bacterial pneumonia in the elderly.]]></abstract><cop>United States</cop><pmid>18667994</pmid></addata></record> |
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| ispartof | Medical science monitor, 2008-08, Vol.14 (8), p.CR387-CR391 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Age Distribution Aged Community-Acquired Infections - epidemiology Community-Acquired Infections - microbiology Female Humans Japan - epidemiology Male Mycoplasma pneumoniae - physiology Pneumonia, Mycoplasma - epidemiology Pneumonia, Mycoplasma - microbiology |
| title | Mycoplasma pneumoniae pneumonia in the elderly |
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