Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children

ObjectiveTo investigate the correlation between serum immunoglobulin E (IgE) levels and the complications in children with Mycoplasma pneumoniae pneumonia (MPP).MethodsA retrospective study of MPP patients hospitalized from May 2019 to July 2021 was performed. We analyzed the clinical manifestations...

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Autores principales: Lili Zhou, Yuan Li, Zhufei Xu, Xuyun Peng, Xiaoyan Gong, Lin Yang
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/e1ff282a6d334d4685736a218906f37e
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spelling oai:doaj.org-article:e1ff282a6d334d4685736a218906f37e2021-11-30T19:15:58ZIncreased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children2235-298810.3389/fcimb.2021.783635https://doaj.org/article/e1ff282a6d334d4685736a218906f37e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcimb.2021.783635/fullhttps://doaj.org/toc/2235-2988ObjectiveTo investigate the correlation between serum immunoglobulin E (IgE) levels and the complications in children with Mycoplasma pneumoniae pneumonia (MPP).MethodsA retrospective study of MPP patients hospitalized from May 2019 to July 2021 was performed. We analyzed the clinical manifestations, complications, laboratory findings, and treatments.ResultsA total of 275 patients who met the inclusion criteria were enrolled in the study. We divided patients into two groups based on whether there were complications. Complications occurred in 147 patients, of which pulmonary complications were more common than extrapulmonary complications. The IgE level in the complication group was higher than that in the non-complication group with p = 0.041. Patients with complications of necrotizing pneumonitis, pneumothorax, skin rash, or bronchiolitis obliterans had higher IgE levels. There was no statistically significant difference in IgE levels between pulmonary complications and extrapulmonary complications. The older the age, the greater the probability of complications (p = 0.001). The group with complications was more likely to have chest pain (p = 0.000), while the group without complications was more likely to have wheezing (p = 0.017). The use of bronchoscopy and glucocorticoids was higher in the complication group than in the non-complication group (p = 0.000).ConclusionsMPP patients with higher IgE levels had more severe clinical symptoms and complications. We speculated that IgE might be a biomarker for complications after MP infection.Lili ZhouYuan LiZhufei XuXuyun PengXiaoyan GongLin YangFrontiers Media S.A.articleChildrenImmunoglobulin EMycoplasma pneumoniaeSevere Mycoplasma pneumoniae pneumoniacomplicationsMicrobiologyQR1-502ENFrontiers in Cellular and Infection Microbiology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Children
Immunoglobulin E
Mycoplasma pneumoniae
Severe Mycoplasma pneumoniae pneumonia
complications
Microbiology
QR1-502
spellingShingle Children
Immunoglobulin E
Mycoplasma pneumoniae
Severe Mycoplasma pneumoniae pneumonia
complications
Microbiology
QR1-502
Lili Zhou
Yuan Li
Zhufei Xu
Xuyun Peng
Xiaoyan Gong
Lin Yang
Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
description ObjectiveTo investigate the correlation between serum immunoglobulin E (IgE) levels and the complications in children with Mycoplasma pneumoniae pneumonia (MPP).MethodsA retrospective study of MPP patients hospitalized from May 2019 to July 2021 was performed. We analyzed the clinical manifestations, complications, laboratory findings, and treatments.ResultsA total of 275 patients who met the inclusion criteria were enrolled in the study. We divided patients into two groups based on whether there were complications. Complications occurred in 147 patients, of which pulmonary complications were more common than extrapulmonary complications. The IgE level in the complication group was higher than that in the non-complication group with p = 0.041. Patients with complications of necrotizing pneumonitis, pneumothorax, skin rash, or bronchiolitis obliterans had higher IgE levels. There was no statistically significant difference in IgE levels between pulmonary complications and extrapulmonary complications. The older the age, the greater the probability of complications (p = 0.001). The group with complications was more likely to have chest pain (p = 0.000), while the group without complications was more likely to have wheezing (p = 0.017). The use of bronchoscopy and glucocorticoids was higher in the complication group than in the non-complication group (p = 0.000).ConclusionsMPP patients with higher IgE levels had more severe clinical symptoms and complications. We speculated that IgE might be a biomarker for complications after MP infection.
format article
author Lili Zhou
Yuan Li
Zhufei Xu
Xuyun Peng
Xiaoyan Gong
Lin Yang
author_facet Lili Zhou
Yuan Li
Zhufei Xu
Xuyun Peng
Xiaoyan Gong
Lin Yang
author_sort Lili Zhou
title Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
title_short Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
title_full Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
title_fullStr Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
title_full_unstemmed Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children
title_sort increased total serum immunoglobulin e is likely to cause complications of mycoplasma pneumoniae pneumonia in children
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/e1ff282a6d334d4685736a218906f37e
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