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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227

Resumen

TOLOSA A, Cristián  y  CARTIER R, Luis. Mycoplasma pneumoniae infection: cerebral microangeitis, Bickerstaff syndrome and autoimmune hemolytic anemia. Rev. chil. neuro-psiquiatr. [online]. 2011, vol.49, n.1, pp.56-61. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272011000100007.

Mycoplasma pneumoniae produce 10 to 20% of atypical pneumonia, and secondarily affects by autoimmune mechanisms the central and peripheral nervous system. This presentation prospects to understand others pathologies than pneumonia, originated by mycoplasma pneumonia, like hemorrhagic cerebral microvasculitis, Bickerstaff syndrome and autoimmune hemolytic anemia expressed by an adolescent. They were an immunomimetic manifestation of this bacteria, same days after pulmonary box. The microvasculitis shows blood in the CSF, retinal hemorrhages and special MR imaging s. Protuberancia! syndrome was identified by a multidirectional nystagmus, facial diplegia, involvement of the sixth cranial nerve and quadriplegia with pyramidal signs. The autoimmune hemolytic anemia was the last complication. Generally all these syndromes have been isolated described in relation to this bacterial infection. In this case they occurred simultaneously. The cerebral vasculitis took a special way, apparently not described before with these characteristics. Our conclusions are that mycoplasma pneumoniae can affect simultaneously different parenchyma expressing immunomimetic responses.

Palabras clave : Mycoplasma pneumoniae; Bickerstaff syndrome; hemorrhagic cerebral m icrovasculitis; autoimmune hemolytic anemia.

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