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Effect of Mycoplasma pneumoniae Infection on N-terminal Pro-brain Natriuretic Peptide Level in Patients with Kawasaki Disease

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The Medical Journal of Chosun University (조선대학교 의대논문집)
조선대학교 의학연구원 (Institute of Medical Science, Chosun University)
초록

Coronary artery complications are the most severe complications in Kawasaki disease (KD). Its cause is unclear but superantigens are considered to influence KD. This study aimed to determine whether coronary artery complications and level of Nterminal pro-brain natriuretic peptide (NT-proBNP) are associated with Mycoplasma pneumoniae (MP) in patients with KD. We studied 142 pediatric patients diagnosed with KD. MP immunoglobulin M (IgM) antibody examination was conducted. All patients underwent echocardiography, and coronary artery dilatation was defined as a coronary Z-score >2.0. We also evaluated their NT-proBNP findings. The independent t-test and Pearson chi-squared test were used to analyze betweengroup differences; a p-value <0.05 was considered statistically significant. Forty children were MP IgM positive. MP IgMpositive patients were older than MP IgM-negative patients. There was no significant difference in the clinical manifestations between the groups. Comparison of the mean Z-score of the coronary artery revealed that only the Z-score of the left anterior descending artery was significantly different between the groups. However, the number of patients with coronary artery dilatation was not significantly different between the groups. Our findings demonstrated no relationship between MP infection and coronary artery dilatation or NT-proBNP levels in patients with KD.

목차
Introduction
 Materials and Methods
  Study population and data collection
  Statistical analysis
  Ethics approval
 Results
 Discussion
 Conclusion
 References
저자
  • Young Min Jo(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea)
  • Seung Hyun Lee(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea)
  • Cheol Hwan So(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea)
  • Chang Woo Lee(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea)
  • Du Young Choi(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea)
  • Seung Taek Yu(Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea) Corresponding author