A Case of Fatal Myocarditis Associated with Mycoplasma pneumoniae Pneumonia

마이코플라즈마 폐렴에 속발한 심근염으로 사망한 소아 1례

  • Kim, Dae Il (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Choi, Jin Hyoung (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Cho, Eun Young (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Choi, Young June (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Sung, Ji Yeon (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Yang, Mi Ae (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Oh, Chi Eun (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Kim, So Hee (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Lee, Jun Ho (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Lee, Jina (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Choi, Eun Hwa (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Lee, Hoan Jong (Department of Pediatrics, Seoul National University College of Medicine)
  • 김대일 (서울대학교 의과대학 소아과학교실) ;
  • 최진형 (서울대학교 의과대학 소아과학교실) ;
  • 조은영 (서울대학교 의과대학 소아과학교실) ;
  • 최영준 (서울대학교 의과대학 소아과학교실) ;
  • 성지연 (서울대학교 의과대학 소아과학교실) ;
  • 양미애 (서울대학교 의과대학 소아과학교실) ;
  • 오지은 (서울대학교 의과대학 소아과학교실) ;
  • 김소희 (서울대학교 의과대학 소아과학교실) ;
  • 이준호 (서울대학교 의과대학 소아과학교실) ;
  • 이진아 (서울대학교 의과대학 소아과학교실) ;
  • 최은화 (서울대학교 의과대학 소아과학교실) ;
  • 이환종 (서울대학교 의과대학 소아과학교실)
  • Received : 2009.05.19
  • Accepted : 2009.06.01
  • Published : 2009.06.25

Abstract

Mycoplasma pneumoniae is a common cause of respiratory tract infections. M. pneumoniae infection frequently manifests with extrapulmonary symptoms such as central nervous system complications, skin or mucosal involvement, and gastrointestinal problems. However, cardiac complications associated with M. pneumoniae are rarely reported. We report the case of a 47-month-old girl who died of fulminant myocarditis associated with M. pneumoniae pneumonia.

Mycoplasma pneumoniae는 소아 및 청소년에게 발병하는 폐렴의 주요한 원인균으로, 중추신경계, 피부나 점막, 소화기계 등의 합병증을 자주 동반하는 것으로 알려져 있다. 하지만 M. pneumoniae와 관련된 심장의 합병증은 비교적 흔하지 않은 것으로 알려져 있고 특히 소아에서는 드문 것 로 알려져 있다. 이에 저자들은 M. pneumoniae 폐렴으로 입원하여 치료 중에 속발한 심근염으로 사망한 47개월 여아에 관한 증례를 보고하는 바이다.

Keywords

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