IL6 and Pleural effusion: In summary, the longer the fever duration in children, the more pronounced the increase in IL-6, CRP, LDH, ESR, and neutrophil (%), the more severe the liver function damage, and the more serious the pleural effusion, the more extensive the involvement of large areas of lung consolidation, and the more likely it was to complicate refractory M. pneumoniae pneumonia in children.