- Author:
Han Taek JEONG
1
;
Jae Young OH
;
Jung Eun SONG
;
Byung Seok KIM
;
Chang Hyeong LEE
Author Information
- Publication Type:Case Report
- Keywords: Mycoplasma pneumoniae; Hepatitis; Adult; Leukopenia
- MeSH: Adult; Biopsy; Fever; Headache; Hepatitis*; Humans; Leukopenia; Liver; Lung*; Myalgia; Mycoplasma pneumoniae; Mycoplasma*; Pneumonia; Pneumonia, Mycoplasma; Respiratory Tract Infections
- From:The Korean Journal of Gastroenterology 2017;70(1):50-53
- CountryRepublic of Korea
- Language:English
- Abstract: 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.