Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Fulminant Mycoplasma Pneumoniae Pneumonia with Marked Elevation of Serum Soluble Interleukin-2 Receptor
Shigeji ITO, Yoshimichi ABE, Keiko KINOMOTO, Takaya SAITOH, Takuji KATO, Yoshihiro KOHLI, Masaru KURIYAMA, Tetsuo SAKAI, Takeshi ISHIZAKI
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Keywords: acute respiratory failure, interstitial pneumonia, pulse therapy
JOURNAL FREE ACCESS

1995 Volume 34 Issue 5 Pages 430-435

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Abstract

We treated a married couple who developed Mycoplasma pneumonia at the same time, and whose clinical courses and serum soluble interleukin-2 receptor (sIL-2R) levels were markedly different. The 30-year-old wife developed acute respiratory failure and her sIL-2R levels were extremely increased. After pulse therapy, her clinical state was improved, with a marked decrease in sIL-2R. In contrast, the 36-year-old husband, also suffered from the pneumonia with a moderate increase of sIL-2R, and recovered without any complications. The difference in their clinical states may be reflected in their serum sIL-2R levels, a marker of T cell activation in vivo.
(Internal Medicine 34: 430-435, 1995)

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