We report a 7-year-old girl who got Mycoplasma pneumoniae infection with prolonged fever. Macrolide was used on day 14 of illness but fever persisted with progressive lung consolidation. Oral prednisolone was administered on day 33 then fever subsided with dramatically clinical improvement (decreased CRP and resolution of lung consolidation). In this case, delayed effective antibiotic treatment with inflammation may be the major factor contributing to the fever rather than ongoing infection.

中文翻译：

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儿童长期发烧的严重肺炎支原体感染：延迟治疗与大环内酯耐药性同等重要

我们报告一名 7 岁女孩因长期发烧感染肺炎支原体。在发病第 14 天使用大环内酯类药物，但持续发烧并伴有进行性肺实变。在第 33 天口服泼尼松龙，然后发烧消退，临床症状显着改善（CRP 降低和肺实变消退）。在这种情况下，延迟有效的抗生素治疗与炎症可能是导致发烧而不是持续感染的主要因素。