医学
肺炎支原体
胸片
弥漫性肺泡出血
肺炎
鉴别诊断
血浆置换术
罕见病
疾病
病因学
呼吸衰竭
肺炎链球菌
皮肤病科
免疫学
病理
内科学
肺
抗体
作者
Ryan D Slauer,Ahmad Mourad,Govind Krishnan,Colby Feeney
出处
期刊:Case Reports
[BMJ]
日期:2022-04-01
卷期号:15 (4): e248273-e248273
标识
DOI:10.1136/bcr-2021-248273
摘要
A transgender man in his late teens presented with signs of multisystem disease, including hepatitis, mucositis and bone marrow suppression. He later developed dyspnoea, leucocytosis and bilateral pulmonary infiltrates on chest radiograph. He was treated for community-acquired pneumonia. After several days of treatment, he developed hypoxaemic respiratory failure due to bronchoscopy-confirmed diffuse alveolar haemorrhage (DAH). The differential diagnosis and workup were extensive, and he was ultimately treated with intravenous steroids and five sessions of plasmapheresis for a presumed autoimmune aetiology. Investigations were remarkable only for elevated IgM and IgG to Mycoplasma pneumoniae (MP). This case represents a rare presentation of multisystem disease secondary to MP in adults. Clinicians should consider Mycoplasma infection in cases of multisystem disease and observe for DAH even after initiation of appropriate therapy.
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