Dataset Information

Development of a model for early differentiation of adenovirus pneumonia from Mycoplasma pneumoniae pneumonia.

ABSTRACT:

Background

Adenovirus pneumonia (AVP) and Mycoplasma pneumoniae pneumonia (MPP) have similar clinical manifestations such as a high prevalence of lung consolidation, making the differential diagnosis difficult before the etiology is reported. This study aimed to compare AVP and MPP, and to build a predictive model to differentiate them early.

Methods

We selected 198 cases of AVP and 876 cases of MPP. Clinical manifestations, computed tomography (CT) features, and biomarkers were compared. A logistic regression model was built to predict AVP. The area under the curve (AUC) of the receiver-operating characteristic was calculated to evaluate the discriminant ability of the prediction model.

Results

Patients in the AVP group were mainly infants and toddlers, while the MPP group had more pre-school age children. The rate of hypoxemia and severe pneumonia was 3- and 11-times higher, respectively, in the AVP group than in the MPP group (5.6% vs. 1.8%, 27.8% vs. 2.5%, P<0.01). The proportion of patients with a Pediatric Logistic Organ Dysfunction-2 score ≥2 was 10 times higher in the AVP group than in the MPP group (17.4% vs. 1.7%, P<0.01). Bilateral pneumonia was present in 90.2% of the AVP group. Biomarkers, such as interleukin (IL)-2 receptor, IL-10 and lactic dehydrogenase (LDH), were considerably higher in the AVP group than in the MPP group (P<0.01). The predictive model included eight variables, namely: age, severe pneumonia, bilateral pneumonia, ground-glass attenuation, consolidation, atelectasis, C-reactive protein, and LDH. The AUC was 86.6%.

Conclusions

Compared with MPP, AVP affects younger children, presents a more severe respiratory tract involvement, results in a larger range of lung lesions, and is associated with higher inflammatory biomarkers. Our predictive model includes a combination of clinical features, imaging findings, and biomarkers. It may help pediatricians in the early differentiation of AVP from MPP.

SUBMITTER: Zhang H

PROVIDER: S-EPMC9732605 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

Development of a model for early differentiation of adenovirus pneumonia from <i>Mycoplasma pneumoniae</i> pneumonia.

Zhang Hu H Li Huajun H Wang Lijun L Huang Lisu L Ma Qibo Q Wu Hanwen H Pang Huanchun H Chen Yiping Y Ruan Zhengshang Z

Translational pediatrics 20221101 11

<h4>Background</h4>Adenovirus pneumonia (AVP) and <i>Mycoplasma pneumoniae</i> pneumonia (MPP) have similar clinical manifestations such as a high prevalence of lung consolidation, making the differential diagnosis difficult before the etiology is reported. This study aimed to compare AVP and MPP, and to build a predictive model to differentiate them early.<h4>Methods</h4>We selected 198 cases of AVP and 876 cases of MPP. Clinical manifestations, computed tomography (CT) features, and biomarkers ...[more]

PMID: 36506774

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