Multiple organ dysfunction syndrome associated with Mycoplasma pneumoniae infection

Zhai, Shengli; Cao, Donghui; Xu, Hui-; Li, Xinxiang; Yang, Sen

doi:10.1590/s1517-83822012000100025

Cited by 3 publications

(3 citation statements)

References 7 publications

(8 reference statements)

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“…The possibility of atypical pneumonia was considered because our patient had cough with shortness of breath on admission. Hepatitis, myocarditis, and renal injury are well-known extrapulmonary manifestations of atypical pneumonia [12]. Severe influenza can also have a similar presentation with fever, myalgia, and type 1 respiratory failure with multiorgan dysfunction [13].…”

Section: Discussionmentioning

confidence: 99%

Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report

Dalugama

Nanayakkara²,

Rathnayaka³

et al. 2020

J Med Case Reports

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Background Hantavirus infection is an emerging zoonotic infection which has two characteristic patterns of presentation: hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome. The clinical presentation of hantavirus infection closely mimics leptospirosis. Case presentation This case report describes a previously apparently well 36-year-old Sri Lankan Sinhalese man who presented with an acute febrile illness with myalgia, with liver involvement in the form of transaminitis, cardiac involvement in the form of myocarditis, acute kidney injury, and pulmonary involvement. He was initially managed as severe leptospirosis with multiorgan dysfunction with antibiotics, steroids, and N-acetyl cysteine. A diagnosis of acute hantavirus infection was made subsequently. He made an uneventful recovery. Conclusion Hantavirus infections need to considered in the differential diagnosis of patients presenting with acute febrile illness with multiorgan involvement. Larger studies are needed to evaluate the seroprevalence of hantavirus in Sri Lanka because it could be an emerging serious public health problem.

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Section: Discussionmentioning

confidence: 99%

Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report

Dalugama

Nanayakkara²,

Rathnayaka³

et al. 2020

J Med Case Reports

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“…The clinical symptoms of MP infection usually start in the upper respiratory tract and then gradually spread to the lower. Additionally liver damage, myocardial damage, anaemia, allergic purpura, nephritis, encephalitis etc may occur in MP infection [14]. These features like long latency period, liver damage/purpura, myocardial damage, nephritis and encephalitis of MP infection resembles with the lakshanas of SSJ like, chiraat paakashcha doshaanaam, shyava rakta kotha mandala darshanam, hridi vyatha, alpa mootra and shiraso lothana/bhrama/moha/ pralaapa/jwara respectively.…”

Section: Features Of Upper Respiratory Tract Infection/ Pneumonia In Ssjmentioning

confidence: 97%

Sama Sannipata Jwara- Sepsis, SIRS, MODS, Septic Shock and Delirium

Mamidi¹

2017

IJCAM

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“…Severe mycoplasma pneumonia may be seen in the defined age groups and bronchopneumonia may be seen in older children (5-15 years). Mycoplasma pneumoniae is known to cause a variety of extrapulmonary diseases, and it can cause multiorgan damage 2,3 involving the nervous system (aseptic meningitis), hematologic system (anemia), cardiovascular system (myocarditis), skeletal system (arthritis), renal system (glomerulonephritis), skin (rash), and gastrointestinal system (hepatitis, pancreatitis). 4,5 Hepatitis associated with Mycoplasma is around 10% to 30%, 6 its prevalence is less.…”

Section: Introductionmentioning

confidence: 99%

Pattern and Significance of Asymptomatic Elevation of Liver Enzymes in Mycoplasma Pneumonia in Children

Jujaray

Juan

Shrestha

et al. 2017

Clin Pediatr (Phila)

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Mycoplasma infection is on the rise in recent times. It usually infects any system, including liver. This study aims to show the significance of elevated liver enzymes in mycoplasma pneumonia and to have a look at future prospects. This is a single-center retrospective study involving 105 children serologically positive for mycoplasma IgM and IgG antibodies and 50 with community-acquired pneumonia caused by organisms other than mycoplasma and Epstein-Barr virus from June 2015 to June 2016 and all without prior liver disease. The patients were followed after 10 days (7-14 days). The liver enzymes were significantly elevated in Mycoplasma pneumoniae infection. The mean levels of alanine transaminase and aspartate transaminase were 39.3 and 32.5 IU/L, respectively. There was a seasonal variation during the months of September and February. Liver involvement in mycoplasma pneumonia is mostly a benign condition and asymptomatic. It is insisted that children with continued elevation should be followed conservatively to avoid unnecessary diagnostic procedures in the future.

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Multiple organ dysfunction syndrome associated with Mycoplasma pneumoniae infection

Cited by 3 publications

References 7 publications

Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report

Atypical case of hantavirus infection in Sri Lanka mimicking leptospirosis: a case report

Sama Sannipata Jwara- Sepsis, SIRS, MODS, Septic Shock and Delirium

Pattern and Significance of Asymptomatic Elevation of Liver Enzymes in Mycoplasma Pneumonia in Children

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