[Acute disseminated encephalomyelitis associated with mycoplasma pneumoniae infection].
A 20-year old man was hospitalized for acute urinary retention, headaches and mild fever. Neurological examination revealed a meningeal syndrome and a bilateral pyramidal syndrome of lower extremities with a C7 sensory level. The level of antibodies against Mycoplasma pneumoniae (Igm and IgG) suggested a recent unrecognized infection. Cerebral and medullar MRI showed T2-hyperintense lesions in the right thalamus and at the level of C1-C2 and C6. Evoked potentials were normal but EEG showed some bilateral theta waves. The cerebrospinal fluid analysis demonstrated 170 white cells/mm3 with 66% lymphocytes and proteins at 73 mg/dl. A few weeks after treatment with intravenous immunoglobulins at 0.4 g/kg/day for 5 days, the patient showed complete clinical recovery. MRI and urinary flowrate normalized after nine weeks. The authors are discussing the probable diagnosis of acute disseminated encephalomyelitis occurring after a mycoplasma unrecognized infection.
Service de Neurologie, C.H.U. de Charleroi, Site Vésale, Montigny-le-Tilleul. njeukui@hotmail.com
J
J
Njeukui Tchoua
S
S
Noel
E
E
Sellitti
J E
JE
Vanderheyden
V
V
Blaze
D000328:Adult; D004569:Electroencephalography; D004679:Encephalomyelitis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D005071:Evoked Potentials; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D008279:Magnetic Resonance Imaging; D008297:Male; D009177:Mycoplasma pneumoniae; D011019:Pneumonia, Mycoplasma / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D016756:Immunoglobulins, Intravenous