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Mycoplasma Encephalitis

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By Chethan Sarabu Pediatric Resident
Samiah A Al-Zaidy, Daune MacGregor, Sanjay Mahant, Susan E Richardson, Ari Bitnun
BACKGROUND: The spectrum of neurologic disease attributable to Mycoplasma pneumoniae in children is incompletely understood in part because of limitations of microbiologic diagnostic methods. Our objective was to characterize the neurologic complications of M. pneumoniae in children using stringent diagnostic criteria. METHODS: All children admitted to the Hospital for Sick Children over a 16-year period with acute neurologic manifestations and polymerase chain reaction (PCR)-confirmed M...
October 1, 2015: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Chih-Fen Hu, Chih-Chien Wang, Shyi-Jou Chen, Cherng-Lih Perng, Hsin-Yi Yang, Hueng-Chuen Fan
BACKGROUND/PURPOSE: To retrospectively analyze the clinical manifestations of Mycoplasma pneumoniae (M. pneumoniae)-associated encephalopathy in pediatric patients. METHODS: Pediatric patients with positive serum anti-M. pneumoniae immunoglobulin M (IgM) were enrolled in this study. Clinical signs and symptoms, laboratory data, neuroimaging findings, and electrophysiological data were reviewed. RESULTS: Of 1000 patients identified, 11 (1.1%; male:female ratio = 7:4) had encephalopathy and were admitted to the pediatric intensive care unit...
December 2014: Journal of Microbiology, Immunology, and Infection, Wei Mian Yu Gan Ran za Zhi
Mitsuo Narita
Mycoplasma pneumoniae has been associated with various neurologic manifestations, but exactly how the organism can cause such a wide variety of diseases is a long-standing mystery. In this respect, although pneumonia has been considered the hallmark of Mycoplasma pneumoniae infection, emerging accumulations of data have revealed that the infection can cause a number of extrapulmonary manifestations even in the absence of pneumonia. The importance of host immune response in the pathomechanism of pneumonia has been established, but the pathomechanisms of extrapulmonary manifestations remain largely unknown...
September 2009: Pediatric Neurology
Laura J Christie, Somayeh Honarmand, Deborah F Talkington, Shilpa S Gavali, Chris Preas, Chao-Yang Pan, Shigeo Yagi, Carol A Glaser
BACKGROUND: Encephalitis is a complex, debilitating, and sometimes fatal neurologic condition to which children are especially prone. Mycoplasma pneumoniae, a common respiratory pathogen, has been implicated as an etiology of encephalitis. Evidence for recent or acute M. pneumoniae infection has been demonstrated in limited studies of both pediatric and adult patients with encephalitis. PATIENTS AND METHODS: Unexplained encephalitis cases are referred to the California Encephalitis Project for diagnostic testing...
August 2007: Pediatrics
Florian Daxboeck, Alexander Blacky, Rainer Seidl, Robert Krause, Ojan Assadian
Most of the knowledge on Mycoplasma pneumoniae encephalitis in children is based on case reports or small case series. The aim of this study was to assess the important features of the disease by a systematic review of previously published cases. Overall, 58 cases (22 female, 36 male; median age 10 years, range: 2-17 years), derived from 38 reports, were reviewed. Forty-five patients (76%) had flulike or respiratory symptoms prior to the onset of neurologic disease, and 23 patients (40%) presented with pulmonary infiltrates...
November 2004: Journal of Child Neurology
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