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Complete occlusion of the right middle cerebral artery associated with Mycoplasma pneumoniae pneumonia / 소아과
Korean Journal of Pediatrics ; : 149-152, 2016.
Artículo en Inglés | WPRIM | ID: wpr-128895
ABSTRACT
We report a case of a 5-year-old girl who developed left hemiparesis and left facial palsy, 6 days after the initiation of fever and respiratory symptoms due to pneumonia. Chest radiography, conducted upon admission, showed pneumonic infiltration and pleural effusion in the left lung field. Brain magnetic resonance imaging showed acute ischemic infarction in the right middle cerebral artery territory. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed complete occlusion of the right middle cerebral artery. Mycoplasma pneumoniae infection was identified by a 4-fold increase in IgG antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. Fibrinogen and D-dimer levels were elevated, while laboratory exams in order to identify other predisposing factors of pediatric stroke were all negative. This is the first reported pediatric case in English literature of a M. pneumoniae-associated cerebral infarction involving complete occlusion of the right middle cerebral artery.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paresia / Derrame Pleural / Neumonía / Neumonía por Mycoplasma / Tórax / Encéfalo / Fibrinógeno / Inmunoglobulina G / Ensayo de Inmunoadsorción Enzimática / Imagen por Resonancia Magnética Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Child, preschool / Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Paresia / Derrame Pleural / Neumonía / Neumonía por Mycoplasma / Tórax / Encéfalo / Fibrinógeno / Inmunoglobulina G / Ensayo de Inmunoadsorción Enzimática / Imagen por Resonancia Magnética Tipo de estudio: Estudio diagnóstico / Estudio pronóstico Límite: Child, preschool / Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2016 Tipo del documento: Artículo