Koga Shunsuke, Ishiwada Naruhiko, Honda Yoshiko, Okunushi Tomoko, Hishiki Haruka, Ouchi Kazunobu, Kohno Yoichi
Department of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Japan.
Pediatr Int. 2012 Oct;54(5):724-6. doi: 10.1111/j.1442-200X.2012.03588.x.
Mycoplasma pneumoniae, a common pathogen causing community-acquired pneumonia, is also known to cause meningoencephalitis in pediatric patients. We report herein a pediatric patient with meningoencephalitis and macrolide-resistant M. pneumoniae infection. We emphasize that macrolide-resistant M. pneumoniae must be taken into consideration in patients with encephalitis, along with consideration for using minocycline even in pediatric patients.
肺炎支原体是引起社区获得性肺炎的常见病原体，在儿科患者中也可导致脑膜脑炎。我们在此报告一例患有脑膜脑炎且感染了对大环内酯类耐药的肺炎支原体的儿科患者。我们强调，对于脑炎患者，必须考虑到感染对大环内酯类耐药的肺炎支原体的可能性，即使是儿科患者，也应考虑使用米诺环素。
