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DOI: 10.1055/a-0850-2936
AIHA und Hepatitis nach Infektion durch Mykoplasmen: Fallbericht
AIHA and hepatitis due to mycoplasma infection - Case reportPublication History
eingereicht
04 December 2018
akzeptiert
13 December 2018
Publication Date:
17 April 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00034917/201902/lookinside/thumbnails/10.1055_a-0850-2936-1.jpg)
Zusammenfassung
Wir stellen den Fall eines 7-jährigen Mädchens vor, welches mit laborchemischen Hämolysezeichen zur weiteren Abklärung stationär eingewiesen wurde. Das Mädchen war in einem guten Allgemeinzustand und zeigte keine klinischen Ikteruszeichen. Anamnestisch bestanden Husten und eine Blässe seit 3 Monaten. Wir stellten die Diagnose einer Kälteagglutinin-assoziierten hämolytischen Anämie mit passagerer Hepatitis durch Mykoplasmen und behandelten das Kind mit Clarithromycin über zehn Tage.
Abstract
The article presents the case of a 7 year old girl, who was admitted to the hospital to clarify progressive signs of hemolysis. She presented mediocre cough and paleness in the past three months. The patient was in excellent general condition with no signs for icterus. An acute mycoplasma pneumonia infection was proved serologically and therefore we diagnosed a mycoplasma cold agglutinin associated hemolytic anemia and hepatitis and treated the girl with Clarithromycin for ten days.
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Literatur
- 1 Singh A, Mandal A, Patel A, Mishra S. Autoimmune Haemolytic Anaemia-A Spectrum of Presentation in Children.. Journal of Clinical and Diagnostic Research 2017; 11: SR01-SR02.
- 2 Bajantri B, Venkatrama S, Diaz-Fuentesa G. Mycoplasma pneumoniae: A Potentially Severe Infection.. J Clin Med Res 2018; 10: 535-544.
- 3 Diamanti A, Chatzispyroglou F, Rühe L. et al. Ein Fall von Encephalitis lethargica?. Kinder- und Jugendmedizin 2017; 17: 158-162.
- 4 Khan FY, Ayassin M. Mycoplasma pneumoniae Associated with Severe Autoimmune Hemolytic Anemia: Case Report and Literature Review.. The Brazilian Journal of Infectious Diseases 2009; 13: 77-79.
- 5 Lodi G, Resca D, Reverberi R. Fatal cold agglutinin-induced haemolytic anaemia: a case report.. Journal of Medical Case Reports 2010; 4: 252.
- 6 Jeong HT, Oh JY, Song JE. et al. Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement.. Korean J Gastroenterol 2017; 70: 50-53.
- 7 Inaba H, Geiger TL, Lasater OE, Wang WC. A Case of Hemoglobin SC Disease with Cold Agglutinin-Induced Hemolysis.. American Journal of Hematology 2005; 78: 37-40.
- 8 Waites KB, Balish MF, Atkinson TP. New insights into the pathogenesis and detection of Mycoplasma pneumoniae infections.. Future Microbiol 2008; 3: 635-648.
- 9 Kim KW, Sung JJ, Tchah H. et al. Hepatitis associated with Mycoplasma pneumoniae infection in Korean children: a prospective study.. Korean J Pediatr 2015; 58: 211-217.
- 10 Shah M, Khan S, Chan K. Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis.. Respiratory Medicine Case Reports 2016; 19: 196-198.
- 11 Narita M. Classification of Extrapulmonary Manifestations Due to Mycoplasma pneumonia Infection on the Basis of Possible Pathogenesis.. Frontiers in Microbiology 2016; 7: 23.
- 12 Meyer Sauteur PM, Unger WW, Nadal D. et al. Infection with and Carriage of Mycoplasma pneumoniae in Children.. Frontiers in Microbiology 2016; 7: 329.
- 13 Rai P, Sharma G, Singh D, Garg J. Rare presentation of mixed autoimmune hemolytic anemia in children: Report of 2 cases.. J Lab Physicians 2017; 9: 332-336.
- 14 Chaudhary RK, Das SS. Autoimmune hemolytic anemia: From lab to bedside.. Asian J Transfus Sci. 2014; 8: 5-12.