All issues > Volume 32(4); 1989

Original Article

J Korean Pediatr Soc. 1989;32(4):556-560. Published online April 30, 1989.

A Case of Mycoplasmal Meningitis Associated with Mycoplasma Pneumoniae Pneumonia.

Sang Young Jeong¹, Seung Koog Kim¹, Sung Ho Cha¹, Sa Jun Chung¹, Chang Il Ahn¹

¹Department of Pediatrics， College of Medicine, Kyung Hee University, Seoul, Korea

Received: July 12, 1988;  Accepted: November 4, 1988.

Abstract

Mycoplasmas have been recognized as pathogens of respiratory tract in children and adolescence, but clinically apparent pneumonia develops in only 3 to 10% of infected persons. Central nervous system complication, such as aseptic meningitis, meningoencephalitis. transverse myelitis, hemiplegia, cerebellar ataxia and psychosis, associated with Mycoplasma pneumoniae infection were developed in .0.1 % of all Mycoplasmal infection. We experienced a case of Mycoplasma pneumoniae pneumonia and meningitis in 5 year old boy which was resistant to various antibiotics during several hospital days. Central nervous system symptom and sign were developed during sixth hospital day, with increased cold agglutinin in both serum and cerebrospinal fluid and indirect hemagglutinin inhibition titer in rum. He was clinically improved after oral medication of erythromycin. The case was presented with brief review of Iiterature.

Keywords :Mycoplasma pneumoniae infection, meningitis