Mycoplasma Pneumoniae Infection with Neurologic Complications

Sevgi  Yimenicioğlu; Ayten  Yakut; Arzu  Ekici; Kursat  Bora Carman; Ener Cagrı  Dinleyici

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Mycoplasma Pneumoniae Infection with Neurologic Complications

Author(s):

Sevgi Yimenicioğlu^1,*,

Ayten Yakut²,

Arzu Ekici³,

Kursat Bora Carman⁴,

Ener Cagrı Dinleyici⁵

IJ Pediatrics:Vol. 24, issue 5; 647-651

Published online:Jul 27, 2014

Article type:Case Report

Received:Jun 11, 2013

Accepted:Nov 03, 2013

How to Cite:Sevgi YimenicioğluAyten YakutArzu EkiciKursat Bora CarmanEner Cagrı DinleyiciMycoplasma Pneumoniae Infection with Neurologic Complications.Iran J Pediatr.24(5):647-651.

Abstract

Background: Extrapulmonary complications of Mycoplasma pneumoniae (M. pneumoniae) infection include encephalitis, optic neuritis, acute psychosis, stroke, cranial nerve palsies, aseptic meningitis and also it may be implicated in immune mediated neurological diseases such as acute demyelinating encephalomyelitis, Guillain-Barre syndrome and transverse myelitis. Case Presentation: We present five cases with acute neurological diseases after M. pneumoniae infection. The clinical presentations were characterized by encephalitis in 2 patients, Gullain-Barre syndrome in 2 patients, transverse myelitis in 1 patient. M. pneumoniae infection was detected in serum by serological method. Only two patients had respiratory symptoms preceding M. pneumoniae infection. Brain MRI revealed hyperintensities on corpus striatum and mesencephalon in one patient with encephalitis, the other had front parietal coalescent periventricular white matter lesions on T2 images. The patient with transverse myelitis had cervical, dorsal and lumbar scattered hyperintense lesions on T2 images. Two patients were treated with high dose steroid, the other two patients received treatment with intravenous immune globuline. Conclusion: M. pneumoniae may reveal different neurologic complications with different radiologic findings.

Keywords

Mycoplasma Pneumonia

Transverse Myelitis

Gullaın-Barre Syndrome

Encephalitis

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