RESUMO
Mycoplasma pneumoniae infection usually presents with upper and lower respiratory tract infection. Extrapulmonary involvement is not uncommon, however. We report two cases of predominantly extrapulmonary manifestations of Mycoplasma pneumoniae infection without significant pulmonary involvement. Both cases were diagnosed by serology. These cases illustrate the diversity of clinical presentations of Mycoplasma pneumoniae infection. Clinicians should maintain a high index of suspicion.
Assuntos
Edema Encefálico/microbiologia , Eritema Multiforme/microbiologia , Pneumonia por Mycoplasma/complicações , Evolução Fatal , Humanos , Masculino , Pessoa de Meia-Idade , Mycoplasma pneumoniae , Pneumonia por Mycoplasma/sangue , Pneumonia por Mycoplasma/microbiologia , Testes Sorológicos , Adulto JovemAssuntos
Gastrectomia/efeitos adversos , Íleo/patologia , Laparoscopia/efeitos adversos , Veias Mesentéricas , Obesidade Mórbida/cirurgia , Trombose Venosa/diagnóstico , Gangrena , Humanos , Ileostomia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Trombose Venosa/diagnóstico por imagem , Trombose Venosa/cirurgiaRESUMO
We report the first fatality caused by novel influenza A (H1N1) infection despite having the diagnosis confirmed and being given antiviral treatment after hospitalisation. This patient was also the first with influenza A (H1N1) to be supported with extracorporeal membrane oxygenation in Hong Kong. Although extracorporeal membrane oxygenation is an effective means of supporting patients with refractory hypoxaemia on high mechanical ventilatory support, it is labour-intensive and technically demanding. We also discuss the challenges faced when managing this case.