Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis

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• 作者：Mit Shah ; Sajid Khan ; Kenneth Chan ; ^{kennethchan1@nhs.net" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Mycoplasma ; Haemolysis ; Cold agglutinin ; Lymphadenopathy
• 刊名：Respiratory Medicine Case Reports
• 出版年：2016
• 出版时间：2016
• 年：2016
• 卷：19
• 期：Complete
• 页码：196-198
• 全文大小：260 K

文摘

Mycoplasma pneumonia is an atypical pneumonia commonly affecting young patients with generally mild clinical course. We present a case of a 66-year-old female presenting with weight loss, night sweats and low-grade pyrexia. She acquired symptomatic haemolytic anaemia requiring blood transfusion, markedly raised erythrocyte sedimentation rate (ESR) to 114 mm/hr and extensive peri-hilar lymphadenopathy on computed tomography (CT) scan. After excluding malignancy and granulomatous diseases, she made good recovery although a 4 week follow-up CT scan showed persistent but resolving lymphadenopathy. We discuss the considerations for blood transfusion in cold agglutinin disease, and the investigations for immunological manifestations in Mycoplasma pneumonia.