PMID- 31208501 OWN - NLM STAT- MEDLINE DCOM- 20190711 LR - 20200808 IS - 1008-8830 (Print) IS - 1008-8830 (Linking) VI - 21 IP - 6 DP - 2019 Jun TI - [Value of absolute counts of lymphocyte subsets in the early prediction of refractory Mycoplasma pneumoniae pneumonia in children]. PG - 511-516 AB - OBJECTIVE: To study the value of absolute counts of lymphocyte subsets in the early prediction of refractory Mycoplasma pneumoniae pneumonia (RMPP) in children. METHODS: A retrospective analysis was performed for the clinical data of 244 children with Mycoplasma pneumoniae pneumonia (MPP). Among these children, 166 had MPP, and 58 had RMPP. The two groups were compared in terms of clinical features and laboratory markers such as lymphocyte subsets, lactate dehydrogenase, C-reactive protein, procalcitonin and immunoglobulin E (IgE). The receiver operating characteristic (ROC) curve was used to evaluate the specific indices for predicting RMMP. RESULTS: There were significant differences between the two groups in the absolute counts of CD3(+), CD4(+), CD19(+), and CD56(+) lymphocytes and the serum levels of lactate dehydrogenase, C-reactive protein, and IgE (P<0.05). The ROC curve analysis showed that the absolute counts of CD3(+), CD4(+) and CD19(+) lymphocytes had an area under the ROC curve (AUC) of 0.866, 0.900 and 0.842 respectively in the differential diagnosis of RMPP and MPP, with a sensitivity of 86%, 90% and 82% respectively and a specificity of 75%, 70% and 80% respectively. CONCLUSIONS: The absolute counts of CD3(+), CD4(+) and CD19(+) lymphocytes can be used to predict RMPP in children. FAU - Li, Na AU - Li N AD - Department of Pediatric Neurology & Rehabilitation Medicine, Shenyang Children's Hospital, Shenyang 110032, China. 706502446@qq.com. FAU - Mu, Ya-Ping AU - Mu YP FAU - Chen, Jing AU - Chen J FAU - Li, Bin AU - Li B LA - chi PT - Journal Article PL - China TA - Zhongguo Dang Dai Er Ke Za Zhi JT - Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics JID - 100909956 RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - C-Reactive Protein MH - Child MH - Humans MH - *Lymphocyte Subsets MH - *Mycoplasma pneumoniae MH - *Pneumonia, Mycoplasma MH - Retrospective Studies PMC - PMC7389588 EDAT- 2019/06/19 06:00 MHDA- 2019/07/12 06:00 PMCR- 2019/06/25 CRDT- 2019/06/19 06:00 PHST- 2019/06/19 06:00 [entrez] PHST- 2019/06/19 06:00 [pubmed] PHST- 2019/07/12 06:00 [medline] PHST- 2019/06/25 00:00 [pmc-release] AID - 10.7499/j.issn.1008-8830.2019.06.003 [pii] AID - zgddekzz-21-6-511 [pii] AID - 10.7499/j.issn.1008-8830.2019.06.003 [doi] PST - ppublish SO - Zhongguo Dang Dai Er Ke Za Zhi. 2019 Jun;21(6):511-516. doi: 10.7499/j.issn.1008-8830.2019.06.003.