[Opsoclonus secondary to encephalopolyradiculoneuritis due to Mycoplasma pneumoniae].
Opsoclonus is characterized by sudden onset of arrhythmic, multidirectional chaotic eye movements, generally associated with a parainfectious or paraneoplasic condition. Opsoclonus is a rare manifestation with no known link with infection by Mycoplasma pneumoniae. We present a case of a 23 year old male patient who presented fever, myalgia, vomiting, respiratory failure, opsoclonus and symmetric flaccid tetraparesis with important lower limb muscle atrophy. Serology and seroreversion for M. pneumoniae were both positive. This case illustrates the possibility that M. pneumoniae may produce a predominantly neurological disease and the need to include this infection in the differential diagnosis of opsoclonus, or polyradiculoneuritis.
Servicio de Medicina Interna, Hospital Universitario Virgen Macarena, Sevilla, Spain. cecorial@supercable.es
C
C
Escorial Moya
J
J
Rodríguez Baño
M Victoria
MV
Borobio
G
G
Izquierdo
D000328:Adult; D004660:Encephalitis / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D011019:Pneumonia, Mycoplasma / Q000150:complications*; D011129:Polyradiculoneuropathy / Q000150:complications* / Q000382:microbiology