A Case of Acute Disseminated Encephalomyelitis (ADEM) accompanying Mycoplasma pneumoniae Infection.

Shin,  Soo Youn; Kim,  Dong Wook

Case Report

Journal of the Korean Child Neurology Society 2006;14(2):353-357.
Published online November 30, 2006.

A Case of Acute Disseminated Encephalomyelitis (ADEM) accompanying Mycoplasma pneumoniae Infection.

¹Department of Pediatrics, Seoul Paik Hospital, Inje University, College of Medicine, Seoul, Korea.
²Department of Pediatrics, Clinical Research Center, Ilsan Paik Hospital, Inje University, College of Medicine, Koyang, Korea. dwkim@ilsanpaik.ac.kr

Abstract

Mycoplasma pneumoniae is a common agent causing tracheobronchitis and pneumonia and its most frequent extrapulmonary complications include central nervous system (CNS) manifestations. Acute disseminated encephalomyelitis (ADEM) is a rare neurological complication due to M. pneumoniae. We experienced a case of ADEM from M. pneumoniae infection, diagnosed by cold hemagglutinin test and brain magnetic resonance imaging (MRI). The patient was almost completely cured with intravenous immunoglobulin therapy. We therefore report the case with a review of the literature.

Key Words: Mycoplasma pneumoniae, Acute disseminated encephalomyelitis