Solli J D, Pedersen K
Medisinsk avdeling, Harstad sykehus.
Tidsskr Nor Laegeforen. 1993 Feb 20;113(5):577-8.
A 15 year-old boy developed meningoencephalitis two weeks after onset of a respiratory tract infection caused by Mycoplasma pneumoniae. Central nervous complications are seen in 2-7% of patients hospitalized for M pneumoniae infection. Meningoencephalitis, meningitis, ataxia, polyradiculitis, psychosis and a few cases of apoplexy have been reported. In clinical practice one should be aware of M pneumoniae in the differential diagnosis of patients with suspected microbiologically induced central nervous complications. The pathogenetic aspects and prognosis are briefly discussed.
一名15岁男孩在肺炎支原体引起的呼吸道感染发病两周后出现脑膜脑炎。在因肺炎支原体感染住院的患者中,2%至7%会出现中枢神经系统并发症。已有报道称出现脑膜脑炎、脑膜炎、共济失调、多发性神经根炎、精神病以及少数中风病例。在临床实践中,对于疑似微生物引起的中枢神经系统并发症的患者进行鉴别诊断时,应考虑肺炎支原体。本文简要讨论了其发病机制及预后。