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West Ashley Library
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Diagnostic value of cytokines in severe childhood Mycoplasma pneumoniae pneumonia combined with Adenovirus infection.
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- Author(s): Yi, Xiaowen; Jia, Wanyu; Li, Wanying; Jia, Canyang; Song, Chunlan
- Source:
Italian Journal of Pediatrics; 5/7/2024, Vol. 50 Issue 1, p1-9, 9p- Subject Terms:
CLINICAL medicine; CRITICALLY ill; PATIENTS; RECEIVER operating characteristic curves; MYCOPLASMA pneumoniae infections; KEY performance indicators (Management); SEX distribution; AGE distribution; FIBRIN fibrinogen degradation products; LACTATE dehydrogenase; DESCRIPTIVE statistics; CYTOKINES; INFLAMMATION; COMPARATIVE studies; LENGTH of stay in hospitals; BIOMARKERS; DNA virus diseases; MIXED infections; INTERLEUKINS; CHILDREN - Source:
- Additional Information
- Abstract: Background: To explore the alterations of inflammatory markers and immune-related cytokines in children infected with Mycoplasma pneumoniae (MP) combined with Adenovirus (ADV). Methods: The study population consisted of 201 children with MPP, and they were grouped according to whether they were coinfected with ADV infection and critically ill. Additionally, comparative analyses were performed. The diagnostic value of different indicators and combined indicators for SMPP combined with ADV was assessed using ROC curves. Results: There was no difference between group A1 and group A2, group B1 and group B2 in terms of age, gender, duration of hospitalisation and fever. The levels of calcitoninogen(PCT), lactate dehydrogenase concentration(LDH), interleukin(IL)-6, IL-8, IL-10, IL-4, IL-12P70, and IFN-γ in group A were higher than group B. The severe group (A1, B1) was significantly higher than the mild group (A2, B2) in terms of D-dimer, CRP, PCT, LDH, IL-6, IL-8, IL-10, IL-17a and number of patients with pleural effusion, solid lung changes. Among the individual indexes of D-dimer, CRP, N%,LDH, and PCT, the AUC of the combined test was 0.977, which was higher than that of the individual indicators. Among IL-6, IL-8, IL-10, and IL-17a, the AUC of the combined assay was 0.802, which was higher than that of the individual indicators. Conclusion: MP combined with ADV infection was associated with increased expression levels of IL-6, IL-8, IL-10, IL-4, IL-12P70, IFN-γ, and LDH. IL-6, IL-8, IL-10, IL-17a, LDH, PCT, CRP, and D-dimer could be used as predictors of SMPP and the combined test can improve the diagnostic value. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Italian Journal of Pediatrics is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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