Wang Wei, Shen Kun-ling
Department of Internal Medicine, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
Zhonghua Er Ke Za Zhi. 2009 Dec;47(12):946-9.
To study the clinical features and diagnostic methods of mycoplasma pneumonia complicated with cerebral infarction.
Data of 3 children with mycoplasma pneumonia who developed cerebral infarction, including clinical manifestations and imaging were collected, analyzed and the literature was reviewed.
All the cases were pre-school or school-aged children, who developed the respiratory infection initially, the neurological symptoms were acute hemiparesis, with or without convulsion. The IgM antibody to Mycoplasma pneumoniae (Mp) was positive. Pulmonary imaging showed unilateral consolidation with atelectasis and pleural exudate. Neuroimaging showed occlusion of middle cerebral artery and infarction of its territory. After giving azithromycin, anti-coagulative and thrombolytic treatments, the neurological deficits recovered to some extent.
Mycoplasma pneumonia were diagnosed based on respiratory symptoms and pulmonary imaging, the accompanied cerebral infarction was confirmed by neurological and neuroimaging findings.
研究支原体肺炎合并脑梗死的临床特征及诊断方法。
收集3例支原体肺炎并发脑梗死患儿的资料，包括临床表现及影像学资料，进行分析并复习文献。
所有病例均为学龄前或学龄儿童，最初均有呼吸道感染，神经症状为急性偏瘫，伴或不伴有惊厥。肺炎支原体（Mp）IgM抗体阳性。肺部影像学显示单侧实变伴肺不张及胸腔积液。神经影像学显示大脑中动脉闭塞及其供血区梗死。给予阿奇霉素、抗凝及溶栓治疗后，神经功能缺损有一定程度恢复。
根据呼吸道症状及肺部影像学诊断支原体肺炎，通过神经及神经影像学检查确诊合并的脑梗死。
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