Pediatr Allergy Respir Dis.  2012 Dec;22(4):417-421.

Pancytopenia Associated with Mycoplasma pneumoniae Pneumonia

Affiliations
  • 1Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea. jyu3922@gmail.com
  • 2Department of Pediatrics, Korea Institute of Radiological & Medical Sciences, Seoul, Korea.
  • 3Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Mycoplasma pneumoniae is the most common pathogen of the respiratory tract among school-aged children and adolescents. It can also cause extrapulmonary manifestation that involves the skin, nervous system, digestive system, and hematopoietic system. A 12-year old girl was admitted to Asan Medical Center Children's Hospital with M. pneumoniae pneumonia. Her respiratory symptoms and signs improved after the treatment with macrolide antibiotics, and she was discharged. However, pancytopenia developed 16 days after the first admission date. She was readmitted, and treated successfully with intravenous immunoglobulin. We reported her as the first case of pancytopenia asscociated with M. pnuemoniae pneumonia in Korea.

Keyword

Mycoplasma pneumoniae; Pancytopenia

MeSH Terms

Adolescent
Anti-Bacterial Agents
Child
Digestive System
Hematopoietic System
Humans
Immunoglobulins
Korea
Mycoplasma
Mycoplasma pneumoniae
Nervous System
Pancytopenia
Pneumonia
Pneumonia, Mycoplasma
Respiratory System
Skin
Anti-Bacterial Agents
Immunoglobulins

Figure

  • Fig. 1 (A) Chest X-ray on 1st admission showed pneumonic consolidation in right upper lobe and peribronchial infiltration in both lung field. (B) X-ray on 2nd admission showed decreased residual pneumonic consolidation involving right upper lobe. (C) Follow-up chest X-ray on 2 months after discharge showed improved peribronchial infiltration in the right upper lobe.


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