Acute Necrotizing Pancreatitis Associated with Mycoplasma pneumoniae Infection in a Child.
10.5223/pghn.2015.18.3.209
- Author:
Aram YANG
1
;
Ben KANG
;
So Yoon CHOI
;
Joong Bum CHO
;
Yae Jean KIM
;
Tae Yeon JEON
;
Yon Ho CHOE
Author Information
1. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. i101016@skku.edu
- Publication Type:Case Report
- Keywords:
Mycoplasma pneumoniae;
Pancreatitis;
Acute necrotizing
- MeSH:
Abdominal Pain;
Agglutination;
Antibodies;
Child*;
Female;
Fever;
Humans;
Korea;
Mycoplasma pneumoniae*;
Mycoplasma*;
Pancreatitis;
Pancreatitis, Acute Necrotizing*;
Pneumonia;
Pneumonia, Mycoplasma*;
Vomiting
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2015;18(3):209-215
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mycoplasma pneumoniae is responsible for approximately 20% to 30% of community-acquired pneumonia, and is well known for its diverse extrapulmonary manifestations. However, acute necrotizing pancreatits is an extremely rare extrapulmonary manifestation of M. pneumoniae infection. A 6-year-old girl was admitted due to abdominal pain, vomiting, fever, and confused mentality. Acute necrotizing pancreatitis was diagnosed according to symptoms, laboratory test results, and abdominal computed tomography scans. M. pneumoniae infection was diagnosed by a 4-fold increase in antibodies to M. pneumoniae between acute and convalescent sera by particle agglutination antibody assay. No other etiologic factors or pathogens were detected. Despite the occurrence of a large infected pseudocyst during the course, the patient was able to discharge without morbidity by early aggressive supportive care. This is the first case in Korea of a child with acute necrotizing pancreatitis associated with M. pneumoniae infection.
