Article in Japanese
A case report of optic neuritis following Mycoplasma pneumoniae infection
Mycoplasma pneumonia is a signficiant cause of pneumonia in children. In addition, Mycoplasma pneumoniae infection has been found to result in many kinds of extrapulmonary manifestations. The case of an 11-year-old boy who developed optic neuritis following Mycoplasma pneumoniae infection is reported. The patient was referred by a primary care physician for further evaluation of bilateral visual loss. The initial diagnosis was optic neuritis as the first sign of a suspected demyelinating disorder. After steroid pulse therapy, his visual acuity recovered, and the visual field disorder and optic disc swelling improved.
Mycoplasma pneumoniae was not initially considered as a potential cause of the optic neuritis. However, a rise in the Mycoplasma pneumoniae antibody titer of more than four times during the course of hospitalization was confirmed, which led to the diagnosis. This case suggests that when a patient presents with optic neuritis of unknown etiology, the possibility of Mycoplasma pneumoniae infection should be considered whether or not respiratory symptoms are present.
Department of Pediatrics, Kanagawa Prefectural Ashigara-kami Hospital
|Received||June 29, 2012|
|Accepted||February 1, 2013|