Meningoencephalitis and otitis media in a child with Mycoplasma pneumoniae infection

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Pelkonen , T , Sarajuuri , A , Rautanen , T , Sinkkonen , S T & Jero , J 2017 , ' Meningoencephalitis and otitis media in a child with Mycoplasma pneumoniae infection ' , Acta oto-laryngologica case reports , vol. 2 , no. 1 , pp. 1-4 . https://doi.org/10.1080/23772484.2016.1247249

Title: Meningoencephalitis and otitis media in a child with Mycoplasma pneumoniae infection
Author: Pelkonen, Tuula; Sarajuuri, Anne; Rautanen, Tarja; Sinkkonen, Saku T.; Jero, Jussi
Contributor: University of Helsinki, Children's Hospital
University of Helsinki, Children's Hospital
University of Helsinki, Lastentautien yksikkö
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
Date: 2017
Language: eng
Number of pages: 4
Belongs to series: Acta oto-laryngologica case reports
ISSN: 2377-2484
URI: http://hdl.handle.net/10138/299307
Abstract: We report on a previously healthy 11-year-old male presenting with meningoencephalitis and otitis media. Computed tomography demonstrated opacification of the right middle ear and mastoid ear cells, but no destructive changes. Anti-Mycoplasma pneumoniae IgG and IgM were positive in serum and at high concentrations in cerebrospinal fluid (CSF), and its nucleic acid was detected in the middle ear fluid and in a throat swab, but not in CSF. EEG showed generalized slowing and right temporal sharp waves. Brain MRI imaging remained normal. After a 3-week treatment with doxycycline and a tympanostomy tube, the patient recovered, and no long-term neurological sequelae have appeared. Diagnostics and pathogenetic mechanisms in meningoencephalitis caused by M. pneumoniae are discussed.
Subject: Meningoencephalitis
otitis media
child
Mycoplasma pneumoniae
PEDIATRIC ENCEPHALITIS
ILLNESS
3125 Otorhinolaryngology, ophthalmology
3123 Gynaecology and paediatrics
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