Acute central and peripheral demyelination associated with mycoplasma pneumoniae - 28/08/11
Doi : 10.1016/S0887-8994(03)00218-2
Maw J. Tan, MB ChB *, Arup K. Chattophadyay, MD †, Paul D. Griffiths, PhD ‡‡, Peter S. Baxter, MD *⁎
* Sheffield Children’s Hospital, Western Bank, UK
† Department of Neurophysiology, Royal Hallamshire Hospital; and the Unit of Academic Radiology, University of Sheffield, Sheffield, UK
*Communications should be addressed to:Dr. Baxter; Ryegate Children’s Centre; Tapton Crescent Road; Sheffield S10 5DD, United Kingdom.
Abstract |
A 7-year-old female presented with Mycoplasma pneumoniae pneumonitis and a progressive ascending limb paralysis. She developed severe respiratory distress, requiring ventilation, and became apparently unresponsive with fixed dilated pupils. Peripheral nerves were inexcitable in nerve-conduction studies. Magnetic resonance imaging of the brain revealed evidence of extensive demyelination. Anti-GM1 immunoglobulin M antibody titers were raised. She improved after a second course of intravenous immunoglobulin and eventually made a full recovery.
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Elsevier Inc. Tous droits réservés.
Vol 29 - N° 3
P. 239-241 - septembre 2003 Retour au numéro
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