Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia.
10.5223/pghn.2017.20.2.124
- Author:
Won Jae SONG
1
;
Ben KANG
;
Hwa Pyung LEE
;
Joongbum CHO
;
Hae Jeong LEE
;
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:
Hepatitis;
Mycoplasma pneumoniae;
Extrapulmonary manifestation
- MeSH:
Antibodies;
Child;
Enzyme-Linked Immunosorbent Assay;
Exanthema;
Hepatitis*;
Humans;
Immunoglobulin G;
Korea;
Male;
Mycoplasma pneumoniae*;
Mycoplasma*;
Pneumonia*;
Pneumonia, Mycoplasma*;
Respiratory System;
Rhabdomyolysis
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2017;20(2):124-129
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mycoplasma pneumoniae infections mainly involve respiratory tract; however, also can manifestate other symptoms by site involved. Extrapulmonary manifestations of M. pneumoniae infection are rarely known to occur without pneumonia. Herein we report a case of a 9-year-old boy who presented with acute cholestatic hepatitis in the absence of pneumonia. Rhabdomyolysis, skin rash, and initial laboratory results suspicious of disseminated intravascular coagulopathy were also observed in this patient. M. pneumoniae infection was identified by a 4-fold increase in immunoglobulin G antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. This is the first pediatric case in Korea of M. pneumoniae infection presenting with acute cholestatic hepatitis in the absence of pneumonia.
