Factors associated with pulmonary embolism in children with refractory Mycoplasma pneumoniae pneumonia and elevated D-dimer - Takeaways - MDSpire

Factors associated with pulmonary embolism in children with refractory Mycoplasma pneumoniae pneumonia and elevated D-dimer

  • By

  • Geng Wang

  • Luanjie Yao

  • Bao Tie

  • Muguoer Wang

  • Xuemei Bai

  • Jing Li

  • Yong Feng

  • Zhaorui Yang

  • Haojing Tang

  • Li Chen

  • Si Liu

  • Bing Dai

  • Yunxiao Shang

  • Jichun Wang

  • Ning Chen

  • June 25, 2026

  • 0 min

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  • 1

    The study included 109 children with refractory Mycoplasma pneumoniae pneumonia, with 49 (45.0%) diagnosed with pulmonary embolism.

  • 2

    Higher white blood cell and neutrophil counts, along with elevated D-dimer levels, were observed in children with pulmonary embolism.

  • 3

    Simultaneous positivity for lupus anticoagulant and antinuclear antibodies was significantly more frequent in the pulmonary embolism group.

  • 4

    Left lower lobe consolidation was independently associated with pulmonary embolism in children with refractory Mycoplasma pneumoniae pneumonia.

  • 5

    Multivariate analysis identified neutrophil count and D-dimer levels as independent risk factors for pulmonary embolism in this population.

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