Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Complete occlusion of the right middle cerebral artery associated with Mycoplasma pneumoniae pneumonia

  • Kang, Ben (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Dong Hyun (Department of Pediatrics, Inha University Hospital, Inha University School of Medicine) ;
  • Hong, Young Jin (Department of Pediatrics, Inha University Hospital, Inha University School of Medicine) ;
  • Son, Byong Kwan (Department of Pediatrics, Inha University Hospital, Inha University School of Medicine) ;
  • Lim, Myung Kwan (Department of Radiology, Inha University Hospital, Inha University School of Medicine) ;
  • Choe, Yon Ho (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kwon, Young Se (Department of Pediatrics, Inha University Hospital, Inha University School of Medicine)
  • 투고 : 2013.08.07
  • 심사 : 2014.07.19
  • 발행 : 2016.03.15
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초록

We report a case of a 5-year-old girl who developed left hemiparesis and left facial palsy, 6 days after the initiation of fever and respiratory symptoms due to pneumonia. Chest radiography, conducted upon admission, showed pneumonic infiltration and pleural effusion in the left lung field. Brain magnetic resonance imaging showed acute ischemic infarction in the right middle cerebral artery territory. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed complete occlusion of the right middle cerebral artery. Mycoplasma pneumoniae infection was identified by a 4-fold increase in IgG antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. Fibrinogen and D-dimer levels were elevated, while laboratory exams in order to identify other predisposing factors of pediatric stroke were all negative. This is the first reported pediatric case in English literature of a M. pneumoniae-associated cerebral infarction involving complete occlusion of the right middle cerebral artery.

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참고문헌

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피인용 문헌

  1. Low Diagnostic Yield of Routine Cerebrospinal Fluid Analysis in Juvenile Stroke vol.9, pp.None, 2016, https://doi.org/10.3389/fneur.2018.00694
  2. Stroke Associated With Recent Mycoplasma Pneumoniae Infection: A Systematic Review of Clinical Features and Presumed Pathophysiological Mechanisms vol.9, pp.None, 2016, https://doi.org/10.3389/fneur.2018.01109
  3. Refractory Mycoplasma pneumoniae pneumonia with concomitant acute cerebral infarction in a child : A case report and literature review vol.97, pp.13, 2016, https://doi.org/10.1097/md.0000000000010103
  4. Thrombotic Complications of Nose and Toe Associated With Mycoplasma pneumoniae Infection vol.10, pp.10, 2019, https://doi.org/10.14740/jmc3349
  5. Effects of Bronchoalveolar Lavage with Ambroxol Hydrochloride on Treating Pulmonary Infection in Patients with Cerebral Infarction and on Serum Proinflammatory Cytokines, MDA and SOD vol.2020, pp.None, 2016, https://doi.org/10.1155/2020/7984565
  6. Dynamic Changes in Coagulation Function in Patients With Pneumonia Under Admission and Non-admission Treatment vol.8, pp.None, 2021, https://doi.org/10.3389/fmed.2021.626384
  7. Thrombosis associated with mycoplasma pneumoniae infection (Review) vol.22, pp.3, 2016, https://doi.org/10.3892/etm.2021.10399
  8. The Value of High-Resolution Vessel Wall Magnetic Resonance Imaging in the Diagnosis and Management of Primary Angiitis of the Central Nervous System in Children vol.29, pp.4, 2016, https://doi.org/10.26815/acn.2021.00437