AZ Pediatría
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Vol. 21 - Num. 81

Clinical Reviews

Very atypical pneumonia in a two-year-old patient

Mercedes Cemeli Canoa, Sara Laliena Aznarb, Sara Beltrán Garcíac, M.ª Esperanza Sáez de Adana Péreza, César García Verad

aPediatra. CS Valdespartera-Montecanal. Zaragoza. España.
bPediatra. CS Cuarte de Huerva. Zaragoza. España.
cPediatra. CS Valdespartera. Zaragoza. España.
dPediatra. CS José Ramon Muñoz Fernández. Zaragoza. España.

Correspondence: M Cemeli. E-mail:

Reference of this article: Cemeli Cano M, Laliena Aznar S, Beltrán García S, Sáez de Adana Pérez ME, García Vera C. Very atypical pneumonia in a two-year-old patient. Rev Pediatr Aten Primaria. 2019;21:61-4.

Published in Internet: 14-03-2019 - Visits: 24487


Childhood community-acquired pneumonia is an important cause of morbidity and mortality in children. Most of them are solved on an outpatient setting, without an etiological diagnosis. Age is the parameter that best correlates with the etiology, however, up to 20-30% of cases is due to a mixed infection by different germs. Most frequently coinfections by viruses and bacteria are described, especially respiratory syncytial virus with Streptococcus pneumoniae and Mycoplasma pneumoniae. However, the association of three or more pathogens is exceptional. The role of this co-pathogenicity is unknown about prognosis and evolution and cannot be specified if agents are concomitant over time or developmental aggravating factors. We present the case of a girl with pneumonia by Mycoplasma pneumoniae who presents symptoms and radiography similar to Streptococcus pneumoniae infection and also positive serology testing IgM for Epstein-Barr virus and parvovirus B19.


Coinfection Community acquired pneumonia Epstein-Barr virus Mycoplasma pneumoniae Parvovirus B19



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