Lohmöller G, Mrowka C, Rosendahl C, Weigold B
Medizinische Poliklinik der Universität München.
Klin Wochenschr. 1987 Sep 1;65(17):840-4. doi: 10.1007/BF01727482.
Mother, father (26 y.o.) and their only child (5 y.o.) developed nonproductive cough, fever (39.5 to 40.4 degrees C) and bilateral pulmonary infiltrates within three weeks. In addition the mother developed a small left pleural effusion and a pericardial effusion, a relative bradycardia, a pruritic vesicular exanthem of the extremities and the trunk, an erythema nodosum and arthritis of the tarsal joints. The father's coulter counter red blood count was distorted by microagglutination at room temperature (hemoglobin 13.2 gr/dl; erythrocytes 1,91 X 10(6) mm-3 and MCH 69.1 pg; MCV 120 fl and hematocrit 23.8%) but not at 37 degrees C (13.2; 4.15 and 31.8; 92 and 39.3, respectively). In the daughter myringitis, pharyngitis, cervical lymphadenopathy and splenomegaly were observed. Cold agglutinins and serologic evidence for mycoplasma pneumoniae infection were demonstrable in all three. Treatment with Tetracycline (parents) and Erythromycin (child) was effective.
母亲、父亲（26岁）及其独子（5岁）在三周内出现干咳、发热（39.5至40.4摄氏度）和双侧肺部浸润。此外，母亲还出现了少量左侧胸腔积液和心包积液、相对心动过缓、四肢和躯干瘙痒性水疱性皮疹、结节性红斑以及跗关节关节炎。父亲的 Coulter 计数器红细胞计数在室温下因微凝集而失真（血红蛋白13.2克/分升；红细胞1.91×10⁶/立方毫米，平均红细胞血红蛋白含量69.1皮克；平均红细胞体积120飞升，血细胞比容23.8%），但在37摄氏度时未失真（分别为13.2；4.15和31.8；92和39.3）。在女儿身上观察到了鼓膜炎、咽炎、颈部淋巴结病和脾肿大。三人的冷凝集素和肺炎支原体感染的血清学证据均得到证实。用四环素（父母）和红霉素（孩子）治疗有效。
