title: [Mycoplasma pneumoniae encephalitis successfully treated by levofloxacin].
abstract: BACKGROUND
  Mycoplasma pneumonia (MP) infection may be associated with several neurological complications. Encephalitis, which affects children and rarely young adults, is the most frequent.
  
  
  METHODS
  A 23-year-old man was admitted for pneumonia with encephalitis. Mycoplasma pneumoniae infection was documented by serology, and polymerase chain reaction in the cerebrospinal fluid. Despite serious initial presentation, outcome was favourable with levofloxacin treatment.
  
  
  CONCLUSIONS
  MP infection should be considered as a potential aetiology in acute encephalitis in young people and in individuals with respiratory symptoms. Antibiotic therapy (fluoroquinolones or macrolides) should be used if MP is strongly suspected or in case of severe acute meningo-encephalitis.
authors.affiliation: Service des maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. Electronic address: cecile.ficko@yahoo.fr.
authors.forename: C
authors.initials: C
authors.lastname: Ficko
authors.affiliation: Service des maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: D
authors.initials: D
authors.lastname: Andriamanantena
authors.affiliation: Service des maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: L
authors.initials: L
authors.lastname: Mangouka
authors.affiliation: Service de biologie médicale, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Bigaillon
authors.affiliation: Service des maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Flateau
authors.affiliation: Service de biologie médicale, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: A
authors.initials: A
authors.lastname: Mérens
authors.affiliation: Service des maladies infectieuses et tropicales, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Rapp
mesh_terms: D000328:Adult; D004660:Encephalitis / Q000188:drug therapy* / Q000382:microbiology; D006801:Humans; D064704:Levofloxacin / Q000627:therapeutic use*; D008297:Male; D009177:Mycoplasma pneumoniae / Q000302:isolation & purification; D011019:Pneumonia, Mycoplasma / Q000150:complications* / Q000188:drug therapy*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D064704:Levofloxacin
keywords: Fluoroquinolones; Levofloxacin; Lévofloxacine; Meningo-encephalitis; Mycoplasma pneumoniae; Méningo-encéphalite