Different types of cerebral infarction caused by severe mycoplasma pneumoniae pneumonia in 3 children
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 2
Abstract
To summarize the clinical features and treatment outcomes of 3 children with lacunar cerebral infarction, middle inferior cerebral trunk infarction and watershed cerebral infarction caused by severe mycoplasma pneumoniae pneumonia. All the 3 cases were admitted to hospital due to fever and cough. Patients developed neurological symptoms such as poor activity during hospitalization and was diagnosed with cerebral infarction after head imaging. Case 1, a 5-year-old boy, had lacunar cerebral infarction combined with atrial thrombosis and upper limb arterial thrombosis. Case 2, a 5-year-old boy, had a middle inferior cerebral trunk infarction; Three 4-year-old girls had watershed cerebral infarction. Cases 2 and 3 developed neurological symptoms after fiberoptic bronchoscopy. D-dimer levels were abnormally elevated in all 3 cases. The acute stage of mycoplasma pneumoniae infection can cause various types of cerebral infarction, and different types of cerebral infarction have different pathogenic mechanisms. During the diagnosis and treatment of mycoplasma pneumoniae pneumonia, it is necessary to detect the D-dimer level in time and perform cardiac ultrasound, and pay attention to the intake and outflow level and perfusion level of children before surgery to avoid the occurrence of cerebral infarction.
Authors and Affiliations
Yuanyuan WANG, Junling CUI, Xiaowei CUI
Keywords
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- EP ID EP750425
- DOI 10.3969/j.issn.1002-0152.2024.02.007
- Views 27
- Downloads 0
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