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Optic neuritis as a presenting symptom of Mycoplasma pneumoniae infection

Yasemin Özkale1, İlknur Erol, Müge Çoban-Karataş

  • 1Department of Pediatrics, BaskentUniversity Faculty of Medicine, Adana, Turkey. dryaseminozkale@gmail.com.

The Turkish Journal of Pediatrics
|May 18, 2016
PubMed

Insights

Mycoplasma pneumoniae infection can cause optic neuritis in children, a rare neurologic condition. This case highlights the importance of considering this infection even without typical respiratory symptoms.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Ophthalmology

Background:

  • Mycoplasma pneumoniae is a common pathogen causing respiratory infections in children.
  • Neurologic complications of Mycoplasma pneumoniae are well-documented, with encephalitis being frequent.
  • Optic neuritis is an uncommon neurologic manifestation in pediatric Mycoplasma pneumoniae infections.

Observation:

  • A 12-year-old girl presented with optic neuritis.
  • The patient was seropositive for Mycoplasma pneumoniae antibodies.
  • No respiratory symptoms or other neurologic deficits were observed.

Findings:

  • This case demonstrates a rare association between Mycoplasma pneumoniae infection and optic neuritis in a pediatric patient.
  • The absence of respiratory symptoms in the presence of serologic evidence of Mycoplasma pneumoniae infection is noteworthy.
  • Optic neuritis occurred as an isolated neurologic finding.

Implications:

  • Clinicians should consider Mycoplasma pneumoniae as a potential cause of optic neuritis in children, even without respiratory symptoms.
  • Early diagnosis and appropriate management of Mycoplasma pneumoniae infections may prevent severe neurologic sequelae.
  • Further research is warranted to understand the pathophysiology of Mycoplasma pneumoniae-associated optic neuritis in children.

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