Mycoplasma pneumoniae-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review
Identifieur interne : 001419 ( Main/Exploration ); précédent : 001418; suivant : 001420Mycoplasma pneumoniae-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review
Auteurs : Norishi Ueda ; Satoshi Minami ; Manabu AkimotoSource :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Encéphalopathies (anatomopathologie), Encéphalopathies (microbiologie), Enfant, Femelle, Humains, Infections à Mycoplasma (anatomopathologie), Infections à Mycoplasma (microbiologie), Maladies de la moelle épinière (anatomopathologie), Maladies de la moelle épinière (microbiologie), Mycoplasma pneumoniae, Mâle.
- MESH :
- anatomopathologie : Encéphalopathies, Infections à Mycoplasma, Maladies de la moelle épinière.
- microbiologie : Encéphalopathies, Infections à Mycoplasma, Maladies de la moelle épinière.
- Adolescent, Enfant, Femelle, Humains, Mycoplasma pneumoniae, Mâle.
English descriptors
- KwdEn :
- MESH :
- microbiology : Brain Diseases, Mycoplasma Infections, Spinal Cord Diseases.
- pathology : Brain Diseases, Mycoplasma Infections, Spinal Cord Diseases.
- Adolescent, Child, Female, Humans, Male, Mycoplasma pneumoniae.
Abstract
No literature review exists on
We described two children with type I and II
Prognosis of
Url:
DOI: 10.1186/s12879-016-1985-1
PubMed: 27836006
PubMed Central: 5106775
Affiliations:
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Le document en format XML
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-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review</title>
<author><name sortKey="Ueda, Norishi" sort="Ueda, Norishi" uniqKey="Ueda N" first="Norishi" last="Ueda">Norishi Ueda</name>
<affiliation><nlm:aff id="Aff1">Department of Pediatrics, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-8588 Ishikawa Japan</nlm:aff>
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<author><name sortKey="Minami, Satoshi" sort="Minami, Satoshi" uniqKey="Minami S" first="Satoshi" last="Minami">Satoshi Minami</name>
<affiliation><nlm:aff id="Aff1">Department of Pediatrics, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-8588 Ishikawa Japan</nlm:aff>
<wicri:noCountry code="subfield">924-8588 Ishikawa Japan</wicri:noCountry>
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<author><name sortKey="Akimoto, Manabu" sort="Akimoto, Manabu" uniqKey="Akimoto M" first="Manabu" last="Akimoto">Manabu Akimoto</name>
<affiliation><nlm:aff id="Aff2">Department of Radiology, Public Central Hospital of Matto Ishikawa, Hakusan, Ishikawa Japan</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main"><italic>Mycoplasma pneumoniae</italic>
-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review</title>
<author><name sortKey="Ueda, Norishi" sort="Ueda, Norishi" uniqKey="Ueda N" first="Norishi" last="Ueda">Norishi Ueda</name>
<affiliation><nlm:aff id="Aff1">Department of Pediatrics, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-8588 Ishikawa Japan</nlm:aff>
<wicri:noCountry code="subfield">924-8588 Ishikawa Japan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Minami, Satoshi" sort="Minami, Satoshi" uniqKey="Minami S" first="Satoshi" last="Minami">Satoshi Minami</name>
<affiliation><nlm:aff id="Aff1">Department of Pediatrics, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-8588 Ishikawa Japan</nlm:aff>
<wicri:noCountry code="subfield">924-8588 Ishikawa Japan</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Akimoto, Manabu" sort="Akimoto, Manabu" uniqKey="Akimoto M" first="Manabu" last="Akimoto">Manabu Akimoto</name>
<affiliation><nlm:aff id="Aff2">Department of Radiology, Public Central Hospital of Matto Ishikawa, Hakusan, Ishikawa Japan</nlm:aff>
<wicri:noCountry code="subfield">Ishikawa Japan</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Infectious Diseases</title>
<idno type="eISSN">1471-2334</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Brain Diseases (microbiology)</term>
<term>Brain Diseases (pathology)</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mycoplasma Infections (microbiology)</term>
<term>Mycoplasma Infections (pathology)</term>
<term>Mycoplasma pneumoniae</term>
<term>Spinal Cord Diseases (microbiology)</term>
<term>Spinal Cord Diseases (pathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Encéphalopathies (anatomopathologie)</term>
<term>Encéphalopathies (microbiologie)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections à Mycoplasma (anatomopathologie)</term>
<term>Infections à Mycoplasma (microbiologie)</term>
<term>Maladies de la moelle épinière (anatomopathologie)</term>
<term>Maladies de la moelle épinière (microbiologie)</term>
<term>Mycoplasma pneumoniae</term>
<term>Mâle</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Encéphalopathies</term>
<term>Infections à Mycoplasma</term>
<term>Maladies de la moelle épinière</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Encéphalopathies</term>
<term>Infections à Mycoplasma</term>
<term>Maladies de la moelle épinière</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Brain Diseases</term>
<term>Mycoplasma Infections</term>
<term>Spinal Cord Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Diseases</term>
<term>Mycoplasma Infections</term>
<term>Spinal Cord Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mycoplasma pneumoniae</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mycoplasma pneumoniae</term>
<term>Mâle</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>No literature review exists on <italic>Mycoplasma pneumoniae</italic>
-associated mild encephalitis/encepharopathy with a reversible splenial lesion (MERS).</p>
</sec>
<sec><title>Methods</title>
<p><italic>M.pneumoniae</italic>
-associated MERS cases were searched till August 2016 using PubMed/Google for English/other-language publications and Ichushi (<ext-link ext-link-type="uri" xlink:href="http://www.jamas.or.jp/">http://www.jamas.or.jp/</ext-link>
) for Japanese-language publications. Inclusion criteria were children fulfilling definition for encephalitis, <italic>M.pneumoniae</italic>
infection, and neuroimaging showing hyperintensity in the splenium of the corpus callosum (SCC) alone (type I) or SCC/other brain areas (type II).</p>
</sec>
<sec><title>Results</title>
<p>We described two children with type I and II <italic>M.pneumoniae</italic>
-associated MERS. Thirteen cases found by the search and our 2 cases were reviewed. Mean age, male/female ratio, duration of prodromal illness was 8.3 years, 1.5 and 3.5 days. The most common neurological symptom was drowsiness, followed by abnormal speech/behavior, ataxia, seizure, delirium, confusion, tremor, hallucination, irritability, muscle weakness, and facial nerve paralysis. Fever was the most common non-neurological symptom, followed by cough, headache, gastrointestinal symptoms, headache, lethargy and dizziness. Seizure and respiratory symptoms were less common. All were diagnosed for <italic>M.pneumoniae</italic>
by serology. Cerebrospinal fluid (CSF) <italic>M.pneumoniae</italic>
was undetectable by PCR in the 3 patients. Three patients were clarithromycin-resistant. Leukocytosis, positive C-reactive protein, hyponatremia, CSF pleocytosis and slow wave on electroencephalography frequently occurred. All except 2 were type I MERS. Neuroimaging abnormalities disappeared within 18 days in the majority of patients. All type I patients completely recovered within 19 days. Two type II patients developed neurological sequelae, which recovered 2 and 6 months after onset.</p>
</sec>
<sec><title>Conclusions</title>
<p>Prognosis of <italic>M.pneumoniae</italic>
-associated MERS is excellent. Type II MERS may increase a risk of neurological sequelae.</p>
</sec>
</div>
</front>
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<tree><noCountry><name sortKey="Akimoto, Manabu" sort="Akimoto, Manabu" uniqKey="Akimoto M" first="Manabu" last="Akimoto">Manabu Akimoto</name>
<name sortKey="Minami, Satoshi" sort="Minami, Satoshi" uniqKey="Minami S" first="Satoshi" last="Minami">Satoshi Minami</name>
<name sortKey="Ueda, Norishi" sort="Ueda, Norishi" uniqKey="Ueda N" first="Norishi" last="Ueda">Norishi Ueda</name>
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