Author: Song, Won Jae; Kang, Ben; Lee, Hwa Pyung; Cho, Joongbum; Lee, Hae Jeong; Choe, Yon Ho
Title: Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia Document date: 2017_6_28
ID: 76by6vg9_11
Snippet: In our case, body temperature elevation up to 37.6 o C and mild cough had been documented 10 days before admission, although fever over 38 o C developed just 4 days before admission. Thus, there is a possibility that primary infection with M. pneumonia may have started 10 days prior to admission. The self-limiting course of mild cough and body temperature elevation within a 2 days period may explain the mild course of pulmonary involvement and th.....
Document: In our case, body temperature elevation up to 37.6 o C and mild cough had been documented 10 days before admission, although fever over 38 o C developed just 4 days before admission. Thus, there is a possibility that primary infection with M. pneumonia may have started 10 days prior to admission. The self-limiting course of mild cough and body temperature elevation within a 2 days period may explain the mild course of pulmonary involvement and the absence of pneumonia in our case. Meanwhile, fever over 38 o C developed concurrently with abdominal pain in the right upper quadrant, 4 days after the resolution of the initial body temperature elevation. This clinical course of a 4 day symptom-free window period implies that the acute cholestatic hepatitis in our case may have been related with an indirect-type mechanism rather than a direct type mechanism.
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