Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis.
Mycoplasma pneumonia is an atypical pneumonia commonly affecting young patients with generally mild clinical course. We present a case of a 66-year-old female presenting with weight loss, night sweats and low-grade pyrexia. She acquired symptomatic haemolytic anaemia requiring blood transfusion, markedly raised erythrocyte sedimentation rate (ESR) to 114 mm/hr and extensive peri-hilar lymphadenopathy on computed tomography (CT) scan. After excluding malignancy and granulomatous diseases, she made good recovery although a 4 week follow-up CT scan showed persistent but resolving lymphadenopathy. We discuss the considerations for blood transfusion in cold agglutinin disease, and the investigations for immunological manifestations in Mycoplasma pneumonia.
Royal Free NHS Foundation Trust, UK.
Mit
M
Shah
Royal Free NHS Foundation Trust, UK.
Sajid
S
Khan
Royal Free NHS Foundation Trust, UK.
Kenneth
K
Chan
Cold agglutinin; Haemolysis; Lymphadenopathy; Mycoplasma