zithromax and Scoliosis

Mycoplasma pneumoniae is a major cause of community-acquired pneumonia. Because most children are not imaged prior to onset of clinical symptoms, the appearance of early Mycoplasma infection has not been extensively studied. We present the case of an 11-year-old boy with large pulmonary masses incidentally detected during spine MRI evaluation for scoliosis. Eight days later, the patient developed acute respiratory symptoms, and the masses seen previously had evolved into a diffuse bronchiolitis. Diagnostic testing identified Mycoplasma pneumoniae as the likely etiology. We briefly review chest CT findings of infection by Mycoplasma and compare them to this unusual presentation of Mycoplasma pneumonia with subclinical imaging findings.

Topics: Anti-Bacterial Agents; Azithromycin; Child; Diagnosis, Differential; Humans; Incidental Findings; Magnetic Resonance Imaging; Male; Pneumonia, Mycoplasma; Scoliosis; Tomography, X-Ray Computed

Unilateral lung agenesis is a rare congenital condition of unknown etiology. A 33-year-old nullipara with right lung agenesis and scoliosis was admitted to the hospital at 30 weeks of gestation because of oligohydramnios. At 32 weeks she was treated for an upper respiratory tract infection with azithromycin. She went into premature labor at 34 weeks and was delivered by Cesarean for breech presentation. Both mother and infant did well.

Topics: Adult; Azithromycin; Breech Presentation; Cesarean Section; Female; Humans; Lung; Obstetric Labor, Premature; Oligohydramnios; Pregnancy; Pregnancy Complications, Infectious; Pregnancy Outcome; Respiratory Tract Infections; Scoliosis