Extensive and Progressive Cerebral Infarction after Mycoplasma pneumoniae Infection / 대한중환자의학회지
Korean Journal of Critical Care Medicine
;
: 211-217, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-200975
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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia por Mycoplasma
/
Trombose
/
Vasculite
/
Encéfalo
/
Imunoglobulinas
/
Imageamento por Ressonância Magnética
/
Infarto Cerebral
/
Enoxaparina
/
Trombofilia
/
Acidente Vascular Cerebral
Tipo de estudo:
Estudo diagnóstico
Limite:
Criança
/
Criança, pré-escolar
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Critical Care Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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