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Clinical Pediatrics
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Septic Shock, Necrotizing Pneumonitis, and Meningoencephalitis Caused by Mycoplasma pneumoniae in a Child: A Case Report

Eliane R. Barreira, MD

UTI Pediátrica, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil, eliane{at}hu.usp.br

Daniela C. Souza

UTI Pediátrica, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil

Patricia F. Góes

UTI Pediátrica, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil

Albert Bousso

UTI Pediátrica, Hospital Universitário da Universidade de São Paulo, São Paulo, Brazil

Mycoplasma pneumoniae is an important causative agent of respiratory infection in childhood. Although the infection caused by M. pneumoniae is classically described as benign, severe and life-threatening pulmonary and extrapulmonary complications can occur. This study describes the first case of septic shock related to M. pneumoniae in a child with necrotizing pneumonitis, severe encephalitis, and multiple organs involvement, with a favorable outcome after lobectomy and systemic corticosteroids

Key Words: Mycoplasma pneumoniae • pulmonary necrosis • Severe Acute Respiratory Syndrome • septic shock • meningoencephalitis

This version was published on April 1, 2009

Clinical Pediatrics, Vol. 48, No. 3, 320-322 (2009)
DOI: 10.1177/0009922808327108


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