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Antigen-Capture Enzyme-Linked Immunosorbent Assay for Specific Detection of Mycoplasma pneumoniae
Published on: February 24, 2023
[Acute transverse myelitis associated with Mycoplasma pneumoniae infection in an eight year old boy]
N Dallot1, L de Pontual, J Guilbert
1Service de pédiatrie, hôpital Jean-Verdier, avenue du 14-Juillet, 93143, Bondy cedex, France. loic.de-pontual@jvr.ap-hop-paris.fr
Abstract:
Many Mycoplasma pneumoniae extra respiratory infections have already been reported. The authors report the case of an eight year old child, presenting with acute transverse myelitis, with a PCR proven involvement of M. pneumoniae in CSF as well as the presence of specific IgM in blood. Acute transverse myelitis may have many causes, most of the time viral. The mechanisms of neurological involvement in M. pneumoniae infections are still unclear, but several points indicate an immune reaction. Corticotherapy first i.v. then per os has proved to be an efficient treatment for acute myelitis. Antibiotherapy is discussed because of the undocumented mechanisms of neurological involvement related to the mycoplasma.
Insights
Mycoplasma pneumoniae can cause rare neurological conditions like acute transverse myelitis. This case highlights M. pneumoniae involvement in a child
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- Mycoplasma pneumoniae is a common respiratory pathogen.
- Extrapulmonary manifestations of M. pneumoniae infections are increasingly recognized.
- Neurological complications associated with M. pneumoniae are rare but significant.
Observation:
- A case study of an eight-year-old child presenting with acute transverse myelitis.
- Polymerase chain reaction (PCR) confirmed M. pneumoniae in cerebrospinal fluid (CSF).
- Specific IgM antibodies against M. pneumoniae were detected in the patient's blood.
Findings:
- The findings suggest a direct or indirect role of M. pneumoniae in causing acute transverse myelitis.
- The exact mechanisms of M. pneumoniae-induced neurological damage are not fully understood, but immune responses are implicated.
- Corticosteroid therapy demonstrated efficacy in treating the acute myelitis.
Implications:
- This case expands the spectrum of known M. pneumoniae-related neurological disorders.
- Further research is needed to elucidate the pathogenesis of M. pneumoniae neuro-infections.
- The findings support considering M. pneumoniae in the differential diagnosis of acute transverse myelitis, particularly in children.
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