Fever, cough, consciousness disturbance and physical activity disorder, is severe Mycoplasma pneumoniae pneumonia complicated with cerebral infarction?
10.3760/cma.j.issn.2095-428X.2018.07.013
- VernacularTitle:发热、咳嗽、意识障碍与肢体活动障碍,是重症支原体肺炎并脑梗死吗?
- Author:
Xingnan JIN
1
,
2
;
Yingxue ZOU
;
Jia ZHAI
;
Bing HUANG
;
Dong LI
;
Lijun SUN
Author Information
1. 300070 天津医科大学临床学院
2. 300134 天津市儿童医院感染科
- Keywords:
Mycoplasma pneumoniae pneumonia;
Cerebral infraction;
Vascular occlusion;
Hypercoagulation
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(7):538-542
- CountryChina
- Language:Chinese
-
Abstract:
The school-age boy was admitted to Tianjin Children's Hospital for "fever and cough for 6 days".After detail examinations,the diagnosis of severe Mycoplasma pneumoniae pneumonia was proved.Treatments:anti-infection with Azithromycin and Meropenem;the obstruction of air way was relieved;assisted with symptomatic and supportive treatment.During the treatment,disorder of consciousness and hemiplegia of right limbs occurred,cerebral infarction was proved later by magnetic resonance angiography(MRA).Severe Mycoplasma pneumoniae pneumonia complicated with cerebral infarction is clinically rare with a high morbidity and mortality.Attention should be paid to body examination and Laboratory test.Multi-disciplinary cooperation is helpful.