Mycoplasma pneumonia Infection: A Possible Trigger for Immune Thrombocytopenia

Shraga Aviner1,2, Hagit Miskin3,4, Daniel London2,5, Shulamith Horowitz2,6, Menachem Schlesinger1,2
1Department of Pediatrics, Barzilai Medical Center, Ashkelon, Israel
2Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
3Department of Pediatrics, Shaare Zedek Medical Center, Jerusalem, Israel
4The Hebrew University, Faculty of Medicine, Jerusalem, Israel
5Radiology Department, Barzilai Medical Center, Ashkelon, Israel
6The National Center for Mycoplasma, Clalit Health Services, Soroka University Medical Center, Beer-Sheva, Israel

Tóm tắt

Mycoplasma pneumonia (M. pneumonia) is usually not considered among the several pathogens that induce immune thrombocytopenia (ITP). We report a child with a clinical diagnosis of severe ITP that was associated with M. pneumonia pneumonia, and review the few cases described in the English literature. We suggest that thrombocytopenia associated with M. pneumonia infection may constitute a subset of ITP, although unlike ITP it occurs concomitantly with the infection and tends to be more severe than “classic” ITP. We recommend that prompt specific antibiotic and immune modulating treatment should be initiated in appropriate clinical settings.

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