Weiss M, Schmid M, Hess T, Mumenthaler M
Medizinische Abteilung, Anna-Seiler-Haus, Inselspital Bern.
Dtsch Med Wochenschr. 1987 Dec 4;112(49):1896-901. doi: 10.1055/s-2008-1068350.
It is not rare that extrapulmonary complications and not pneumonia dominate the clinical picture in infections with Mycoplasma pneumoniae, as is illustrated by three cases. In the first, a young woman developed an acute, but ultimately completely reversible, polyradiculitis after a Mycoplasma pneumonia. The second patient sustained a thoracic transverse myelitis which regressed rapidly and completely under treatment with erythromycin and prednisone. In the third one, the Mycoplasma pneumonia was complicated by a generalized hypersensitivity vasculitis affecting many organs. A largely reversible renal vasculitis was demonstrated angiographically.
如三个病例所示,在肺炎支原体感染中,肺外并发症而非肺炎主导临床表现的情况并不罕见。第一例中,一名年轻女性在患支原体肺炎后出现急性但最终完全可逆的多发性神经根炎。第二例患者发生胸段横贯性脊髓炎,在接受红霉素和泼尼松治疗后迅速且完全恢复。第三例中,支原体肺炎并发影响多个器官的全身性超敏性血管炎。血管造影显示存在基本可逆的肾血管炎。