Extensive and Progressive Cerebral Infarction after Mycoplasma pneumoniae Infection / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 211-217, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-770988
ABSTRACT
Acute cerebral infarctions are rare in children, however, they can occur as a complication of a Mycoplasma pneumoniae (MP) infection due to direct invasion, vasculitis, or a hypercoagulable state. We report on the case of a 5-year-old boy who had an extensive stroke in multiple cerebrovascular territories 10 days after the diagnosis of MP infection. Based on the suspicion that the cerebral infarction was associated with a macrolide-resistant MP infection, the patient was treated with levofloxacin, methyl-prednisolone, intravenous immunoglobulin, and enoxaparin. Despite this medical management, cerebral vascular narrowing progressed and a decompressive craniectomy became necessary for the patient's survival. According to laboratory tests, brain magnetic resonance imaging, and clinical manifestations, the cerebral infarction in this case appeared to be due to the combined effects of hypercoagulability and cytokineinduced vascular inflammation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía por Mycoplasma
/
Trombosis
/
Vasculitis
/
Encéfalo
/
Inmunoglobulinas
/
Imagen por Resonancia Magnética
/
Infarto Cerebral
/
Enoxaparina
/
Trombofilia
/
Accidente Cerebrovascular
Tipo de estudio:
Estudio diagnóstico
Límite:
Niño
/
Child, preschool
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
The Korean Journal of Critical Care Medicine
Año:
2017
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS