case_images: PMC10570831_01
case_images: Chest computed tomography (CT) images of an adolescent patient with macrolide-unresponsive Mycoplasma pneumoniae pneumonia. (A-C) Chest CT 3 days before admission, showing patchy consolidation in the lower lobe of the right lung. (D-F) Chest CT on hospital Day 4, showing that the original consolidation in the lower lobe of the right lung had become enlarged and new patchy consolidations had appeared in the bilateral lower lobes. (G-I) Chest CT on hospital Day 15, showing significant resolution of the bilateral lung lesions.
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case_images: Chest computed tomography (CT) revealed patchy consolidation in the lower lobe of the right lung ( Figures 1A-C ). Follow-up chest CT showed that the original consolidation in the lower lobe of the right lung had increased in size, with new patchy consolidations in the bilateral lower lobes ( Figures 1D-F ). On Day 15, a follow-up physical examination showed that the inflammatory markers and organ function indicators had returned to normal, and the follow-up chest CT examination revealed significant resolution of the bilateral lung lesions ( Figures 1G-I ).
case_images: Bronchoscopy findings for an adolescent patient with macrolide-unresponsive Mycoplasma pneumoniae pneumonia. (A-F) Bronchoscopy shows bronchial mucosa with edema and tracheal hyperemia, with some white secretions in the segmental bronchi.
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case_images: Fiberoptic bronchoscopy was performed on Day 4 and revealed the presence of bronchial mucosa with edema and tracheal hyperemia, with some white secretions in the segmental bronchi. ( Figures 2A-F ).
case_images: Timeline showing the progress and treatment of macrolide-unresponsive Mycoplasma pneumoniae pneumonia in an adolescent patient.
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case_images: Omadacycline was discontinued, and the patient was discharged the following day ( Figure 3 ).