Acute Transverse Myelitis Related to Mycoplasma pneumonia

Abstract

We present a case of transverse myelitis caused by Mycoplasma pneumonia. Clinical findings were muscle weakness and decreased deep tendon reflexes of the lower extremities, total sensory loss below T8 level, including loss of superficial cutaneous abdominal reflexes bilaterally, and urinary and stool incontinence. Magnetic resonance imaging revealed segmental edema extending from the cervical to the lumbar cord. Serological criteria were used for the diagnosis of acute infection caused by M. pneumonia. The patient recovered completely after a 15-day treatment of intravenous clarithromycin accompanied by pulsed methylprednisolone. This report emphasizes that myelitis is one of the most severe central nervous system complications related to M. pneumonia infections, and early treatment helps to avoid complications.

Keywords

Mycoplasma pneumonia - transverse myelitis - childhood

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