How to Cite
Abstract
Acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae: report of an opportune diagnosis and treatment. Acute disseminated encephalomyelitis is an acquired demyelinating disease of the central nervous system. It is more frequent in childhood, it usually occurs following a infection but may appear following vaccination. Most of times it has an monophasic curse with unspecific clinical features, therefore diagnostic suspicion is necessary. We describe the case of a twelve months girl who after an pharyngeal infection developed acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae, a recognized pathogenic respiratory agent, which causes numerous and varied extrapulmonary manifestations, being neurological the most frequent. This patient had a satisfactory evolution after medical management.
Key words: Acute disseminated encephalomyelitis. Mycoplasma pnumoniae.
References
2. Dale RC, de Sousa C, Chong WK, Cox TC, Harding B, Neville BG. Acute disseminated encephalomyelitis, multiphasic disseminated encephalomyelitis and multiple sclerosis in children. Brain 2000;123:2407-22.
3. Peña JA, Montiel Nava C, Hernández F, Medrano E, Valvuena O, Cardozo J. Encefalomielitis aguda diseminada en niños. Rev Neurol 2002;34 (2):163-8.
4. Apak RA, Kose G, Anlar B, Turanli G, Topaloglu H, Ozdirim E. Acute disseminated encephalomyelitis in chilhood: report of 10 cases. J Child Neurol 1999;14 (3):198-201.
5. Smith R, Eviatar L. Neurologic manifestations of Mycoplasma pneumoniae infections: diverse spectrum of diseases. A report of six cases and review of the literature. Clin Pediatr 2000; 39 (4): 195-201.
6. Smith C, Sangster G. Mycoplasma pneumoniae meningoencephalitis. Scand J Infect Dis 1972; 4: 69-71.
7. Guilet M, Campistol J: Encefalomielitis aguda diseminada en la infancia: Presentación de 10 casos. Rev Neurol 2001;32: 409-13.
8. Lerer RJ, Kalavsky SM. Central nervous system disease associated with Mycoplasma pneumoniae infection: Report of five cases and review of the literature. Pediatrics 1973;52(5):658.
9. Sztajnbok J, Lignani L Jr, Bresolin AU, Marotto PC, Seguro AC. Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood. Pediatr Emerg Care 1998; 14 (1): 36-8.
10. Abele-Horn M, Franck W, Busch U, Nitschko H, Roos R, Heesemann J. Transverse myelitis associated with Mycoplasma pneumoniae infection. Clin Infect Dis 1998;26:909-12.
11. Mattson D H. Postinfectious encephalomyelitis. In: Gilman S. (Ed) Medlink Neurobase. San Diego. Arbor Publishing. 2ª edition 2000.
12. Rodríguez S, Martínez M A. Utilidad clínica de una prueba diagnóstica en infecciones por Mycoplasma pneumoniae. Rev Pediatría 1996; 39: 69-73.
13. Medina-Malo C, Castillo A, Castaño S. Enfermedades desmielinizantes postinfecciosas. Rev Neurol 1997;25(142): 906-12.
14. Alvarez MI. Infección por Mycoplasma pneumoniae. In: Aristizábal G, Reyes MA, Leal FJ. Infección, Alergia y Enfermedad Respiratoria en el Niño. Segunda Edición. Cali: Editorial XYZ;1991:284-95
15. Keegan BM, Lowry NJ, Yager JY. Mycoplasma pneumoniae: a cause of coma in the absence of meningoencephalitis. Pediatr Neurol 1999;21(5):822-5.