Baby cough with chronic mycoplasma
Chronic mycoplasma infection is a relatively common clinical phenomenon in the baby's cough, and the pathogenic bacteria include Mycoplasma pneumoniae, Ureaplasma urealyticum, Mycoplasma genitalium, etc. If a chronic mycoplasma infection is suspected in the baby, it needs to be confirmed in conjunction with clinical manifestations and special tests.
1. Mycoplasma pneumoniae infection: If the baby is infected with Mycoplasma pneumoniae, symptoms such as fatigue, headache, sore throat, muscle aches, paroxysmal cough, etc., may also be accompanied by fever. Symptoms of cough may appear after 2-3 weeks, and the course of the disease is 4-6 weeks.
It is recommended to use antibiotics under the guidance of a doctor, such as erythromycin, roxithromycin, clarithromycin, azithromycin, etc., and can be combined with cough medicines, such as ambroterol oral solution, etc.;
2. Ureaplasma urealyticum infection: If the baby is infected with Ureaplasma, symptoms such as urethral itching, frequent urination, and painful urination may occur, and there may also be redness and swelling at the urethral opening, vaginal opening, and anus. Susceptibility testing is required, and susceptible antibiotics are selected for treatment based on the results of susceptibility testing. If the baby is allergic to one antibiotic, you can choose another antibiotic, and at the same time, during the treatment period, you need to strengthen daily life care, pay attention to local hygiene, and change underwear frequently to avoid bacterial breeding;
3. Mycoplasma genitalium infection: If the baby is suspected of being infected with Mycoplasma genitalium, you can take urethral secretions for smear to find out whether there is Mycoplasma genitalium, which also needs to be treated with antibiotics, but azithromycin or erythromycin is preferred;
4. Others: Chronic mycoplasma infection can also cause pneumothorax, pleurisy, arthritis and other diseases in the baby's cough, it is recommended to go to the hospital in time to improve the chest X-ray examination to make a clear diagnosis. If the baby has pleurisy, thoracentesis may be done as appropriate.