A Persistently Febrile Adolescent with Headache and Vision Changes

Butler, Alexandra Milloff; Vijayan, Vini; Meehan, C; Wilson, Rochelle; Lossius, Michele

doi:10.3928/00904481-20140924-05

Cited by 1 publication

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are no large studies supporting their use, but corticosteroids have been successfully applied in our case and in other severe cases. 21,22 Complications related to vascular occlusion may necessitate the use of anticoagulants. 1,6…”

Section: The Diagnosis Of Kawasaki Disease According To the Criteria ...mentioning

confidence: 99%

A plethora of manifestations following a Mycoplasma pneumoniae infection: a case report

Matthys

Borsboom

Steyaert

et al. 2019

Acta Clinica Belgica

View full text Add to dashboard Cite

Mycoplasma pneumoniae infection can present with a plethora of symptoms and result in a systemic vasculitis by activating a cascade of autoimmune reactions. In this case report, a young man without relevant past medical history, was admitted to the hospital with diarrhea, abdominal pain and spiking fever. A CT-scan showed terminal ileitis. A 5 day broad spectrum antibiotic treatment (ciprofloxacin/clindamycin) did not result in any clinical improvement. On the contrary, the patient developed a cholestatic hepatitis, bilateral anterior uveitis and a dry cough. Extensive serological testing finally led to the diagnosis of a Mycoplasma pneumoniae infection by paired serology (>=4-fold rise in IgG titer). In the diagnostic work-up a PET-CT was performed and showed increased tracer uptake in the carotids and vertebral arteries, suggesting the diagnosis of vasculitis. After start of azithromycin and low-dose corticosteroids (0.5mg/kg/day), a gradual clinical and biochemical improvement was observed. But subsequently, the patients relapsed and presented with an acute coronary syndrome (ACS). Coronary angiography revealed aneurysmatic deformation of the three coronary arteries, leading to the assumption of coronary vasculitis. Clinical improvement was achieved with high-dose corticosteroids (1mg/kg/day). This case shows that Mycoplasma pneumoniae is not merely a

show abstract

Section: The Diagnosis Of Kawasaki Disease According To the Criteria ...mentioning

confidence: 99%

A plethora of manifestations following a Mycoplasma pneumoniae infection: a case report

Matthys

Borsboom

Steyaert

et al. 2019

Acta Clinica Belgica

View full text Add to dashboard Cite

show abstract

A Persistently Febrile Adolescent with Headache and Vision Changes

Abstract: Editor's note: Each month, this department features a discussion of an unusual diagnosis. A description and images are presented, followed by the diagnosis and an explanation of how the diagnosis was determined. As always, your comments are welcome via email at pedann@Healio.com.

Cited by 1 publication

References 7 publications

A plethora of manifestations following a Mycoplasma pneumoniae infection: a case report

A plethora of manifestations following a Mycoplasma pneumoniae infection: a case report

Contact Info

Product

Resources

About