Archives of Disease in Childhood 1993; 69: 573-576
Mycoplasma pneumoniae infection and neurological
The cases are reported of 13 children seen
over a 22 month period who presented
with a variety of acute neurological illnesses
associated with Mycoplasma
pneumoniae infection. Although presentation
with a decreased level of consciousness
or seizures was common, psychosis,
hemiparesis, cranial nerve palsies, and
Guillain-Barre syndrome were also seen.
In contrast with published reports, only
one child had an associated chest infection.
Although some children have been
left with residual disability, most have
made a complete recovery. In this recent
experience, M pneumoniae is a not rare
cause of neurological illness in childhood
and may present in unusual ways.
(Arch Dis Child 1993; 69: 573-576)
Three patients had focal neurological signs as
part of their illness. In patient 1, the onset of
left facial weakness and left hemiparesis was
abrupt and recovery slow. Brain imaging was
normal. In patient 5, recovery was characterised
by a marked extrapyramidal syndrome
with a festinant gait. Patient 12 presented with
tremor and unsteadiness on the right side.