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KMID : 0614620170700010050
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Korean Journal of Gastroenterology
2017 Volume.70 No. 1 p.50 ~ p.53
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Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
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Jeong Han-Taek
Oh Jae-Young
Song Jeong-Eun
Kim Byung-Seok
Lee Chang-Hyeong
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Abstract
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Mycoplasma pneumoniae (M. pneumoniae) is a major cause of community acquired respiratory infections. And it also causes a number of extrapulmonary manifestations including cardiovascular, dermatological, musculoskeletal, and hematological systems. But, acute hepatitis without lung involvement is rare in adults. Here, we report a case of 32-year-old man who presented with fever, chilling, myalgia, and headache. Biochemical analysis showed severely impaired liver function and leukopenia. Laboratory tests and liver biopsy demonstrated a hepatocellular pattern of M. pneumoniae-associated acute hepatitis. Clinical symptoms and laboratory parameters are improved rapidly under treatment with macrolide. Therefore, We recommend that phsycians should consider a possibility of M. pneumoniae infection in acute hepatitis without lung and extrapulmonary involvement, when other more frequent causes have been excluded.
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KEYWORD
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Mycoplasma pneumoniae, Hepatitis, Adult, Leukopenia
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