Pancréatite aiguë et infection à Mycoplasma pneumoniae

Vic, P.; Blondin, G; Blayo, M; Finel, E.; Daaboul, M.; Queinnec, C; Broussine, L

doi:10.1016/j.arcped.2003.10.005

Cited by 7 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mycoplasma pneumoniae (MP) is a bacterium responsible for 15–40 % of acute community-acquired pneumonia in children and 20 % of adults cases [ 1 , 2 ]. Several extrapulmonary manifestations have been reported: neurological (encephalitis, meningitis, acute polyradiculoneuritis), hematological (autoimmune hemolytic anemia, erythroblastopenia), renal (by deposit of circulating immune complexes), cutaneous (maculo-papular rash, erythema nodosum, urticaria, Stevens–Johnson syndrome) and articular.…”

Section: Introductionmentioning

confidence: 99%

“…Several recent observations, especially in children, reported acute pancreatitis following MP infection, with or without respiratory symptoms, preceding by a few days the appearance of abdominal pains, sometimes leading to a misdiagnosis of perforated appendicitis [ 1 , 2 , 10 ]. The diagnosis of MP infection was asserted by serological data (complement fixation test [ 2 ], passive hemagglutination [ 5 ]).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute pancreatitis and pneumonia due to Mycoplasma pneumoniae: a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundMycoplasma pneumoniae is a bacterium responsible for 15 to 40 % of acute community-acquired pneumonia in children and 20 % of adult cases. Several extrapulmonary manifestations have been reported. We report a rare case of an adult patient suffering from pneumonia associated with an acute pancreatitis in the setting of Mycoplasma pneumoniae infection.Case presentationA 28-year-old Caucasian woman was referred for anorexia lasting for 1 week. Her past medical history was notable for congenital hydrocephalus with consecutive ventriculo-peritoneal shunt, epilepsia and paraparesis. The patient rapidly deteriorated, presenting with dyspnea, tachypnea, productive cough, abdominal pain, and onset of fever. C-reactive protein was at 270 mg/L, with a rise in serum lipase (670 UI/L, N: 13–60). A computed-tomography scan showed an acute interstitial edematous pancreatitis without necrosis, consistent with grade C on the Balthazar score. Thoracic sections revealed diffuse parenchymal consolidations combined with ground glass opacities. Calcium and triglyceride levels were normal. There was no history of recent trauma, alcoholic intake or drug intoxication. Mycoplasma pneumoniae serological assay showed an elevated IgM titer (22 UA/mL), compatible with recent infection, and cold agglutinins were present. A diagnosis of acute pancreatitis and diffuse interstitial pneumonia caused by an infection with Mycoplasma pneumoniae was considered. Respiratory and abdominal evolution was quickly favorable after initiation of clarithromycin 500 mg bid.ConclusionsThe relationship between Mycoplasma pneumoniae infection and acute pancreatitis has been debated in the literature for many years. This observation, supported by clinical, biological and radiological features, is an additional argument in favor of a non-fortuitous association.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acute pancreatitis and pneumonia due to Mycoplasma pneumoniae: a case report

et al. 2016

View full text Add to dashboard Cite

show abstract

Acute pancreatitis caused by Mycoplasma pneumoniae: an unusual etiology

Lacasa

Borges

Marín

et al. 2017

Clin J Gastroenterol

View full text Add to dashboard Cite

It is well known that the most important etiologies of acute pancreatitis are gallstones and alcohol consumption. Once these causes have been ruled out, especially in young adults, it is important to consider less frequent etiologic factors such as drugs, trauma, malformations, autoimmunity or systemic diseases. Other rare and less well studied causes of this pathology are infections, among which Mycoplasma pneumoniae has been reported to cause acute pancreatitis as an unusual extrapulmonary manifestation. Here, we report the case of a 21-year-old patient who had acute idiopathic pancreatitis associated with an upper respiratory tract infection. After an in-depth study, all other causes of pancreatitis were ruled out and Mycoplasma was established as the clinical etiology.

show abstract