KMID : 0604020170320020211
|
|
Korean Journal of Critical Care Medicine 2017 Volume.32 No. 2 p.211 ~ p.217
|
|
Extensive and Progressive Cerebral Infarction after Mycoplasma pneumoniae Infection
|
|
Choi Yu-Hyeon
Jeong Hyung-Joo Lee Bong-Jin An Hong-Yul Lee Eui-Jun Park June-Dong
|
|
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 cytokine-induced vascular inflammation.
|
|
KEYWORD
|
|
cerebral infarction, child, mycoplasma pneumoniae, thrombosis, vasculitis
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|