Mycoplasma pneumonia-associated acute hepatitis in an adult patient without lung infection.
Mycoplasma pneumonia is a major cause of respiratory infections in school-aged children. Most M. pneumonia infections in adults involve the respiratory tract. Extrapulmonary manifestations of M. pneumonia infection may be found in the skin, cardiovascular, neurologic and hematologic systems. Concomitant liver disease is rare in adults. Here, we report an unusual case of a patient who presented with fever and abdominal pain, but without pulmonary manifestations. The laboratory work-up demonstrated a hepatocellular pattern of acute hepatitis caused by M. pneumonia infection. Symptoms subsided and laboratory parameters improved with antibiotics treatment. Thus, this case can help raise clinicians' awareness of the possibility of M. pneumonia infection, with or without lung involvement, as a part of the evaluation of undetermined hepatitis.
Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C. ericest@vghtc.gov.tw
Shou-Wu
SW
Lee
Sheng-Shun
SS
Yang
Chi-Sen
CS
Chang
Hong-Jeh
HJ
Yeh
Wai-Keung
WK
Chow
D000208:Acute Disease; D000328:Adult; D005260:Female; D006505:Hepatitis / Q000209:etiology*; D006801:Humans; D009175:Mycoplasma Infections / Q000150:complications*; D009177:Mycoplasma pneumoniae