Language: Fre
Country: FRANCE
Journal Code: SU9
Indexing Priority: 2
Journal Subset: M
MeSH Headings: Adult ; Case Report ; English Abstract ; Human ; Male ;
Myelitis, Transverse/drug therapy/*etiology/physiopathology ; Pneumonia,
Mycoplasma/*complications/drug therapy/physiopathology ;
DATE: 1995 May
Abstract
A twenty-six year old man was admitted for febrile atypical pneumoniae. Few
hours later, he presented an acute flaccid paraplegia with dorsal pain.
Cerebrospinal fluid analysis showed a high leukocyte count with raised protein
level. Neuroradiological examinations (myelography and MRI) were normal. Seric
immunological disorders were reported. High complement-fixing antibody titers
to Mycoplasma pneumoniae were found in the serum and in the CSF. The patient
was treated with antibiotic and corticosteroids. He improved dramatically
within one month. Neurological complications of Mycoplasma pneumoniae
infections have been described (meningoencephalitis, meningitidis,
polyradiculoneuropathies, cerebellar ataxia, cranial nerve palsies). Nineteen
cases of transverse myelitis induced by Mycoplasma pneumoniae have been
previously reported. Pathophysiological mechanisms of nervous system
complications induced by Mycoplasma pneumoniae were discussed. Vascular
mechanisms, direct invasion by the pathogen, toxic, immunological causes were
examined.
Albucher JF ; Lauque D ; Geyer I ; Turc JD ; Chollet F ; Carles P ; Guiraud-
Chaumeil B ;