Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia
We report a case of M. pneumoniae infection presenting with severe hemolytic anemia in a 4-year-old girl, with a ten-day history of paleness, weakness, and nonproductive cough. She was very pale and tachycardic. However, she was not tachypneic. Chest examination showed normal breath sounds. No rhonc...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/649850 |
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| author | Zafer Kurugol Serife Sebnem Onen Guldane Koturoglu |
| author_facet | Zafer Kurugol Serife Sebnem Onen Guldane Koturoglu |
| author_sort | Zafer Kurugol |
| collection | DOAJ |
| description | We report a case of M. pneumoniae infection presenting with severe hemolytic anemia in a 4-year-old girl, with a ten-day history of paleness, weakness, and nonproductive cough. She was very pale and tachycardic. However, she was not tachypneic. Chest examination showed normal breath sounds. No rhoncus or whistling was heard. As the erythrocyte sedimentation rate was excessively elevated, the differential diagnosis primarily comprised hematological malignancies. Direct Coombs' test was positive. Diagnosis of M. pneumoniae infection was confirmed by elevated levels of M. pneumoniae IgG and IgM antibodies and a chest X-ray suggestive of atypical pneumonia. The patient was treated with clarithromycin and packed red cell transfusion and showed a favorable recovery within ten days after admission. In conclusion, this case demonstrates that severe hemolytic anemia caused by M. pneumoniae is not always associated with severe pulmonary involvement, even when the respiratory infection is very mild, M. pneumoniae may be the cause of severe anemia. |
| format | Article |
| id | doaj-art-a283460906df4674b2d7c78789c45ef9 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a283460906df4674b2d7c78789c45ef92025-02-03T01:03:46ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/649850649850Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumoniaZafer Kurugol0Serife Sebnem Onen1Guldane Koturoglu2Department of pediatrics, Ege University Faculty of Medicine, Izmir, 35100 Bornova, TurkeyDepartment of pediatrics, Ege University Faculty of Medicine, Izmir, 35100 Bornova, TurkeyDepartment of pediatrics, Ege University Faculty of Medicine, Izmir, 35100 Bornova, TurkeyWe report a case of M. pneumoniae infection presenting with severe hemolytic anemia in a 4-year-old girl, with a ten-day history of paleness, weakness, and nonproductive cough. She was very pale and tachycardic. However, she was not tachypneic. Chest examination showed normal breath sounds. No rhoncus or whistling was heard. As the erythrocyte sedimentation rate was excessively elevated, the differential diagnosis primarily comprised hematological malignancies. Direct Coombs' test was positive. Diagnosis of M. pneumoniae infection was confirmed by elevated levels of M. pneumoniae IgG and IgM antibodies and a chest X-ray suggestive of atypical pneumonia. The patient was treated with clarithromycin and packed red cell transfusion and showed a favorable recovery within ten days after admission. In conclusion, this case demonstrates that severe hemolytic anemia caused by M. pneumoniae is not always associated with severe pulmonary involvement, even when the respiratory infection is very mild, M. pneumoniae may be the cause of severe anemia.http://dx.doi.org/10.1155/2012/649850 |
| spellingShingle | Zafer Kurugol Serife Sebnem Onen Guldane Koturoglu Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia Case Reports in Medicine |
| title | Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia |
| title_full | Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia |
| title_fullStr | Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia |
| title_full_unstemmed | Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia |
| title_short | Severe Hemolytic Anemia Associated with Mild Pneumonia Caused by Mycoplasma pneumonia |
| title_sort | severe hemolytic anemia associated with mild pneumonia caused by mycoplasma pneumonia |
| url | http://dx.doi.org/10.1155/2012/649850 |
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