Evidence map›Paper›PMID 41344998›Full record

ArticleThe clinical respiratory journal2025

Risk Factor Analysis of Mycoplasma pneumoniae Pneumonia Complicated With Plastic Bronchitis in Children: A Single-Center Retrospective Study.

Jian-Min Dong, Chun-Qing Zhou, Yuan-Yuan Zhen

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Article in The clinical respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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3 · Its place in the literature

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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Jian-Min DongDepartment of Pediatrics, Feicheng People's Hospital, Feicheng, China.
Chun-Qing ZhouDepartment of Pediatrics, Qingdao Hiser Hospital Affiliated with Qingdao University (Qingdao Traditional Chinese Medicine Hospital), Qingdao, China.
Yuan-Yuan ZhenDepartment of Pediatrics, Qilu Hospital of Shandong University (Qingdao), Qingdao, China.ORCID https://orcid.org/0009-0008-1521-8332

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the clinical features and risk factors for Mycoplasma pneumoniae pneumonia (MPP) complicated with plastic bronchitis (PB) and to provide a reference for the early diagnosis and treatment of this disease.

methodsClinical data from 75 pediatric patients diagnosed with MPP who underwent bronchoscopy at our hospital between June 16 and December 31, 2023, were retrospectively analyzed. Patients were stratified into PB and non-PB groups based on the presence or absence of bronchial cast removal during bronchoscopy. Comparative analysis of clinical characteristics was performed between the two groups. Binary logistic regression analysis was employed to identify risk factors associated with MPP complicated by PB. Additionally, bronchial cast components obtained from the PB group underwent compositional analysis using proteomic techniques via mass spectrometry.

resultsThe composition ratio of children with fever frequency and a heat course ≥ 10 days in the PB group. The composition ratio, neutrophil ratio, erythrocyte sedimentation rate (ESR) and levels of C-reactive protein, lactate dehydrogenase, procalcitonin (PCT) and D-dimer in children with lung compaction were significantly greater than those in the non-PB group (t = 2.290-3.793, χ

conclusionsCompared with children with MPP alone, children with PB have a more intense inflammatory response, and the possibility of MPP with PB should be vigilant when the ESR > 25.20 mm/1 h and PCT > 0.19 μg/L. Bronchial plastics in children with PB contain a large amount of fibrin, which may be related to the abnormal activation of coagulation and fibrinolysis systems caused by inflammation.

Indexed as

BronchitisMycoplasma pneumoniaePneumonia, MycoplasmaAdolescentBronchoscopyChildChild, PreschoolChinaC-Reactive ProteinFemaleHumansInfantMaleProcalcitoninRetrospective StudiesRisk FactorsC-Reactive ProteinProcalcitoninbronchitischild groupMycoplasmapneumoniaregression analysisrisk factors

Identifiers

PMID41344998
PMCPMC12678006

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