Thomas N H, Collins J E, Robb S A, Robinson R O
Department of Paediatric Neurology, Guy's Hospital, London.
Arch Dis Child. 1993 Nov;69(5):573-6. doi: 10.1136/adc.69.5.573.
The cases are reported of 13 children seen over a 22 month period who presented with a variety of acute neurological illnesses associated with Mycoplasma pneumoniae infection. Although presentation with a decreased level of consciousness or seizures was common, psychosis, hemiparesis, cranial nerve palsies, and Guillain-Barré syndrome were also seen. In contrast with published reports, only one child had an associated chest infection. Although some children have been left with residual disability, most have made a complete recovery. In this recent experience, M pneumoniae is a not rare cause of neurological illness in childhood and may present in unusual ways.
报告了在22个月期间诊治的13例儿童病例,这些儿童患有与肺炎支原体感染相关的各种急性神经系统疾病。虽然意识水平下降或癫痫发作很常见,但也可见到精神病、偏瘫、颅神经麻痹和吉兰 - 巴雷综合征。与已发表的报告不同,只有1名儿童伴有胸部感染。虽然一些儿童留有残余残疾,但大多数已完全康复。在最近的这些病例中,肺炎支原体是儿童期神经系统疾病的一个并不罕见的病因,且可能以不寻常的方式表现出来。