Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia

Song, Won Jae; Kang, Ben; Lee, Hwa Pyung; Cho, Joongbum; Lee, Hae Jeong; Choe, Yon Ho

In conclusion, we report the first pediatric case in Korea of M. pneumoniae infection in a child presenting with acute cholestatic hepatitis in the absence of pneumonia. The clinical course and concurrent multiple extrapulmonary manifestations indicate that an indirect-type plus a vascular occlusion type mechanism may have played a role in the pathomechanism of extrapulmonary manifestations in our case. This case also emphasizes that M. pneumoniae infection should be considered as a possible cause of acute cholestatic hepatitis despite the absence of pneumonia, and that early treatment with proper antibiotics should be initiated from suspicion.