Mycoplasma pneumoniae-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review
Identifieur interne : 000314 ( Pmc/Curation ); précédent : 000313; suivant : 000315Mycoplasma 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.
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
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Norishi Ueda<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>
<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>
<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>
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en"><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>
</titleStmt>
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<idno type="pmid">27836006</idno>
<idno type="pmc">5106775</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106775</idno>
<idno type="RBID">PMC:5106775</idno>
<idno type="doi">10.1186/s12879-016-1985-1</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000314</idno>
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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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<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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</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Infect. Dis</journal-id>
<journal-title-group><journal-title>BMC Infectious Diseases</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2334</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27836006</article-id>
<article-id pub-id-type="pmc">5106775</article-id>
<article-id pub-id-type="publisher-id">1985</article-id>
<article-id pub-id-type="doi">10.1186/s12879-016-1985-1</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title><italic>Mycoplasma pneumoniae</italic>
-associated mild encephalitis/encephalopathy with a reversible splenial lesion: report of two pediatric cases and a comprehensive literature review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Ueda</surname>
<given-names>Norishi</given-names>
</name>
<address><phone>+81-76-275-2222</phone>
<email>nueda@mattohp.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Minami</surname>
<given-names>Satoshi</given-names>
</name>
<address><email>mina-mh@imcc-med.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Akimoto</surname>
<given-names>Manabu</given-names>
</name>
<address><email>akimoto@mattohp.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Pediatrics, Public Central Hospital of Matto Ishikawa, 3-8 Kuramitsu, Hakusan, 924-8588 Ishikawa Japan</aff>
<aff id="Aff2"><label>2</label>
Department of Radiology, Public Central Hospital of Matto Ishikawa, Hakusan, Ishikawa Japan</aff>
</contrib-group>
<pub-date pub-type="epub"><day>11</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>11</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>16</volume>
<elocation-id>671</elocation-id>
<history><date date-type="received"><day>1</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>27</day>
<month>10</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Encephalitis</kwd>
<kwd>MERS</kwd>
<kwd>Neuroimaging</kwd>
<kwd><italic>Mycoplasma pneumoniae</italic>
</kwd>
<kwd>Splenium of the corpus callosum</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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