Encefalomielitis aguda diseminada por Mycoplasma pneumoniae: a propósito de un diagnóstico y tratamiento oportuno
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Universidad Industrial de Santander
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La encefalomielitis aguda diseminada es una enfermedad desmielinizante adquirida del sistema nervioso central que ocurre con mayor frecuencia durante la infancia, generalmente después de infecciones o de vacunaciones. La mayoría de las veces evoluciona de manera monofásica con manifestaciones clínicas inespecíficas, por lo que la sospecha diagnóstica es fundamental. Se describe el caso clínico de una niña de doce meses de edad que, tras una infección amigdalar inespecífica, presentó un cuadro de encefalomielitis aguda diseminada por Mycoplasma pnumoniae, reconocido patógeno respiratorio responsable de numerosas y variadas manifestaciones extrapulmonares, siendo más frecuentes las neurológicas, que evolucionó de manera satisfactoria con el manejo médico instaurado, sin presentar secuelas ya que se realizó un diagnóstico oportuno.
Palabras clave: Encefalomielitis aguda diseminada. Mycoplasma pnumoniae.
Acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae: report of an opportune diagnosis and treatment. Acute disseminated encephalomyelitis is an acquired demyelinating disease of the central nervous system. It is more frequent in childhood, it usually occurs following a infection but may appear following vaccination. Most of times it has an monophasic curse with unspecific clinical features, therefore diagnostic suspicion is necessary. We describe the case of a twelve months girl who after an pharyngeal infection developed acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae, a recognized pathogenic respiratory agent, which causes numerous and varied extrapulmonary manifestations, being neurological the most frequent. This patient had a satisfactory evolution after medical management. Key words: Acute disseminated encephalomyelitis. Mycoplasma pnumoniae.
Acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae: report of an opportune diagnosis and treatment. Acute disseminated encephalomyelitis is an acquired demyelinating disease of the central nervous system. It is more frequent in childhood, it usually occurs following a infection but may appear following vaccination. Most of times it has an monophasic curse with unspecific clinical features, therefore diagnostic suspicion is necessary. We describe the case of a twelve months girl who after an pharyngeal infection developed acute disseminated encephalomyelitis caused by Mycoplasma pneumoniae, a recognized pathogenic respiratory agent, which causes numerous and varied extrapulmonary manifestations, being neurological the most frequent. This patient had a satisfactory evolution after medical management. Key words: Acute disseminated encephalomyelitis. Mycoplasma pnumoniae.