PMID- 35024356 OWN - NLM STAT- MEDLINE DCOM- 20220128 LR - 20220128 IS - 2235-2988 (Electronic) IS - 2235-2988 (Linking) VI - 11 DP - 2021 TI - Increased Total Serum Immunoglobulin E Is Likely to Cause Complications of Mycoplasma pneumoniae Pneumonia in Children. PG - 783635 LID - 10.3389/fcimb.2021.783635 [doi] LID - 783635 AB - OBJECTIVE: To investigate the correlation between serum immunoglobulin E (IgE) levels and the complications in children with Mycoplasma pneumoniae pneumonia (MPP). METHODS: A retrospective study of MPP patients hospitalized from May 2019 to July 2021 was performed. We analyzed the clinical manifestations, complications, laboratory findings, and treatments. RESULTS: A total of 275 patients who met the inclusion criteria were enrolled in the study. We divided patients into two groups based on whether there were complications. Complications occurred in 147 patients, of which pulmonary complications were more common than extrapulmonary complications. The IgE level in the complication group was higher than that in the non-complication group with p = 0.041. Patients with complications of necrotizing pneumonitis, pneumothorax, skin rash, or bronchiolitis obliterans had higher IgE levels. There was no statistically significant difference in IgE levels between pulmonary complications and extrapulmonary complications. The older the age, the greater the probability of complications (p = 0.001). The group with complications was more likely to have chest pain (p = 0.000), while the group without complications was more likely to have wheezing (p = 0.017). The use of bronchoscopy and glucocorticoids was higher in the complication group than in the non-complication group (p = 0.000). CONCLUSIONS: MPP patients with higher IgE levels had more severe clinical symptoms and complications. We speculated that IgE might be a biomarker for complications after MP infection. CI - Copyright (c) 2021 Zhou, Li, Xu, Peng, Gong and Yang. FAU - Zhou, Lili AU - Zhou L AD - Department of Respiratory Medicine, Women and Children's hospital, Gannan Medical University, Ganzhou, China. FAU - Li, Yuan AU - Li Y AD - Department of Respiratory Medicine, Women and Children's hospital, Gannan Medical University, Ganzhou, China. FAU - Xu, Zhufei AU - Xu Z AD - Department of Respiratory Medicine, The Children's Hospital, Zhejiang University, Hangzhou, China. FAU - Peng, Xuyun AU - Peng X AD - Department of Respiratory Medicine, Women and Children's hospital, Gannan Medical University, Ganzhou, China. FAU - Gong, Xiaoyan AU - Gong X AD - Department of Respiratory Medicine, Women and Children's hospital, Gannan Medical University, Ganzhou, China. FAU - Yang, Lin AU - Yang L AD - Department of Respiratory Medicine, Women and Children's hospital, Gannan Medical University, Ganzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211124 PL - Switzerland TA - Front Cell Infect Microbiol JT - Frontiers in cellular and infection microbiology JID - 101585359 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Child MH - Humans MH - Immunoglobulin E MH - *Mycoplasma pneumoniae MH - *Pneumonia, Mycoplasma/complications MH - Retrospective Studies PMC - PMC8744470 OTO - NOTNLM OT - Children OT - Immunoglobulin E OT - Mycoplasma pneumoniae OT - Severe Mycoplasma pneumoniae pneumonia OT - complications COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/01/14 06:00 MHDA- 2022/01/29 06:00 PMCR- 2021/01/01 CRDT- 2022/01/13 12:31 PHST- 2021/09/26 00:00 [received] PHST- 2021/11/05 00:00 [accepted] PHST- 2022/01/13 12:31 [entrez] PHST- 2022/01/14 06:00 [pubmed] PHST- 2022/01/29 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fcimb.2021.783635 [doi] PST - epublish SO - Front Cell Infect Microbiol. 2021 Nov 24;11:783635. doi: 10.3389/fcimb.2021.783635. eCollection 2021.