Misdiagnosis of post-traumatic splenic rupture in a patient with acute cold agglutinin disease due to Mycoplasma infection.
We describe a case of cold agglutinin disease, secondary to Mycoplasma pneumoniae infection, which presented with anaemia and abdominal pains in apparent succession to a thoraco-abdominal trauma. An exploratory laparotomy, carried out because of suspected post-traumatic rupture of the spleen, was complicated by a transitory cardiorespiratory arrest. The subsequent and correct diagnosis of the mycoplasmal infection and the cold agglutinins led to specific and successful therapy. The previously unknown hypertrophic cardiomyopathy was a contributing factor to the cardiorespiratory arrest.
Cirasino
L
L
Rizzi Medical Division, Niguarda Ca' Granda Hospital, Milano, Italy.
Marcotti
A
A
Barosi
G
G
Massaro
F
F
Silvani
A
A
D000744:Anemia, Hemolytic, Autoimmune / Q000175:diagnosis* / Q000209:etiology*; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009175:Mycoplasma Infections / Q000150:complications* / Q000175:diagnosis; D013161:Splenic Rupture / Q000175:diagnosis*