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Case Report: Cardiac Multiple Thrombus and Pulmonary Embolism Associated With Mycoplasma Pneumonia Infection in a

Tongqiang Zhang1, Jiafeng Zheng1, Hongbo Wang1

  • 1Department of Respiratory, Tianjin Children's Hospital (Children's Hospital of Tianjin University), Tianjin, China.

Frontiers in Pediatrics
|August 4, 2022
PubMed

Insights

Mycoplasma pneumoniae pneumonia can cause serious cardiac thrombi and pulmonary embolism. A child with this condition recovered with conservative medical treatment, offering a new therapeutic option.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Cardiology

Background:

  • Mycoplasma pneumoniae (MP) commonly causes respiratory infections in children.
  • Severe or refractory Mycoplasma pneumoniae pneumonia (MPP) is increasingly associated with thromboembolism in various organs.
  • Cardiac thrombi and pulmonary embolism linked to MP infection have not been previously reported.

Observation:

  • A pediatric case of severe Mycoplasma pneumoniae pneumonia (MPP) presented with cardiac multiple thrombi and pulmonary embolism.
  • The patient exhibited symptoms indicative of widespread thromboembolic events originating from the heart.

Findings:

  • This is the first reported case of cardiac multiple thrombi and pulmonary embolism occurring in conjunction with Mycoplasma pneumoniae pneumonia (MPP).
  • The child successfully recovered following conservative medical management, challenging the assumption that surgical resection is the only effective treatment for cardiac thrombus in this context.

Implications:

  • Conservative medical treatment may be a viable therapeutic option for pediatric patients with cardiac multiple thrombi associated with Mycoplasma pneumoniae pneumonia (MPP).
  • This case expands the understanding of potential complications of Mycoplasma pneumoniae infections and highlights the importance of considering thromboembolic events.
  • Further research is warranted to explore the efficacy and safety of conservative management strategies for cardiac thrombi in pediatric MPP cases.
Keywords:
Mycoplasma pneumoniaecardiac thrombuschildreninfectionpulmonary embolism

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