Mycoplasma pneumoniae encephalitis successfully treated by levofloxacin

Mycoplasma pneumonia (MP) infection may be associated with several neurological complications. Encephalitis, which affects children and rarely young adults, is the most frequent. A 23-year-old man was admitted for pneumonia with encephalitis. Mycoplasma pneumoniae infection was documented by serolog...

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Bibliographic Details
Published in:La revue de medecine interne 2015-01, Vol.36 (1), p.47-50
Main Authors: Ficko, C, Andriamanantena, D, Mangouka, L, Bigaillon, C, Flateau, C, Mérens, A, Rapp, C
Format: Article
Language:fre
Subjects:
Adult
Encephalitis - drug therapy
Encephalitis - microbiology
Humans
Levofloxacin - therapeutic use
Male
Mycoplasma pneumoniae - isolation & purification
Pneumonia, Mycoplasma - complications
Pneumonia, Mycoplasma - drug therapy
Treatment Outcome
Young Adult
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Summary:Mycoplasma pneumonia (MP) infection may be associated with several neurological complications. Encephalitis, which affects children and rarely young adults, is the most frequent. 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. 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.
ISSN:1768-3122
DOI:10.1016/j.revmed.2013.09.007