Decaux G, Szyper M, Ectors M, Cornil A, Franken L
J Neurol Neurosurg Psychiatry. 1980 Oct;43(10):883-7. doi: 10.1136/jnnp.43.10.883.
Three cases of central nervous system complications of Mycoplasma pneumoniae infections are reported. There were several atypical findings: the first patient presented with an acute disseminated encephalitis with normal cerebrospinal fluid and hypogammaglobulinaemia. The second patient presented with a left sixth nerve palsy followed six weeks later by choreoathetoid movements and an acute psychosis. The third patient presented with an acute encephalitis associated with acute renal failure secondary to rhabdomyolysis and was the only patient who did not completely recover; he was discharged akinetic and mute, but with normal renal function. The diagnosis of complications of Mycoplasma pneumoniae may be difficult. In two of the three cases a raised red blood cell volume secondary to a high titre of cold agglutinins rapidly led to the correct diagnosis.
报告了3例肺炎支原体感染的中枢神经系统并发症。有几个非典型表现：首例患者表现为急性播散性脑脊髓炎，脑脊液正常，伴有低丙种球蛋白血症。第二例患者起初出现左侧展神经麻痹，六周后出现舞蹈手足徐动症和急性精神病。第三例患者表现为急性脑炎，伴有横纹肌溶解继发的急性肾衰竭，且是唯一未完全康复的患者；他出院时无运动能力且不能言语，但肾功能正常。肺炎支原体感染并发症的诊断可能困难。在3例中的2例中，高滴度冷凝集素导致红细胞容积升高，迅速得出了正确诊断。
