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Mycoplasma pneumoniae meningoencephalitis complicated by diplopia
E T Agustin1, V Gill, B A Cunha
1Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501.
Heart & Lung : the Journal of Critical Care
|September 1, 1994
Summary
This study details a rare case of Mycoplasma pneumoniae meningoencephalitis where double vision was the main symptom. The patient recovered fully after treatment with minocycline.
Area of Science:
- Neurology
- Infectious Diseases
- Microbiology
Background:
- Mycoplasma pneumoniae is a common pathogen causing respiratory infections.
- Meningoencephalitis is a serious inflammation of the brain and meninges.
- Neurological complications of Mycoplasma pneumoniae infections are rare but can be severe.
Observation:
- A patient presented with diplopia as the primary neurological sign.
- Additional neurological findings included bilateral Babinski signs, mental confusion, and bladder incontinence.
- Cerebrospinal fluid analysis was consistent with meningoencephalitis.
Findings:
- The patient was diagnosed with Mycoplasma pneumoniae meningoencephalitis.
- The diplopia was attributed to the meningoencephalitis.
- Treatment with minocycline resulted in resolution of neurological symptoms.
Implications:
- This case expands the spectrum of neurological presentations for Mycoplasma pneumoniae infections.
- Diplopia can be the initial and primary neurological manifestation of Mycoplasma pneumoniae meningoencephalitis.
- Minocycline is an effective treatment option for Mycoplasma pneumoniae meningoencephalitis.