Mycoplasma pneumonia with persistent lymphadenopathy and severe cold agglutinin haemolysis. (2016)

• Record Type: Journal Article
• Authors: Shah, Mit; Khan, Sajid; Chan, Kenneth
• Is Part Of: Respiratory medicine case reports. Volume 19(2016)
• Page Start: 196
• Page End: 198
• Publication Date: 2016
• Subjects: Mycoplasma -- Haemolysis -- Cold agglutinin -- Lymphadenopathy; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2016.10.011
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: 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.