Clinical features of intracardiac thrombotic complication in patients with severe Mycoplasma pneumoniae pneumonia.

ABSTRACT:

Background

Intracardiac thrombus (ICT) is the rarest yet most severe complication of severe Mycoplasma pneumoniae pneumonia (SMPP) in children. This study aims to elucidate the clinical characteristics of patients with SMPP-related ICT.

Methods

We retrospectively enrolled 68 children with SMPP (18 cases of ICT, 50 cases of non-ICT) who were admitted from January 2014 to January 2024. We compared their demographic data, clinical symptoms, laboratory tests, imaging findings, treatment strategies, and prognoses. Additionally, we summarized data from 33 confirmed SMPP-related ICT cases reported in 12 references.

Results

In our cohort, the ICT group exhibited higher incidences of tachypnea, chest pain, inflammation, and elevated D-dimer levels. They also presented more sev

SUBMITTER: Li X 

PROVIDER: S-EPMC11817218 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature