DENOUEMENT CONTINUED FROM PAGE 14

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PANAHI MAHMOUD

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Journal Paper

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2003 | Volume:45 | Issue:78 Page(s): 117-118

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Title

DENOUEMENT CONTINUED FROM PAGE 14

Author(s)

PANAHI MAHMOUD | Issue Writer Certificate

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Abstract

Serum and CSF collected on second hospital day were analyzed and IgM-Elisa assay for M.pneumonia was positive but IgG-Elisa assay was negative. Cold agglutinin was strongly positive too (titer; 1: 1200).Serologic tests for EEV; HSV, Measles, Mumps, Toxoplasma and rubella were negative. CSF and blood cultures were negative, because of serum and CSF IgM Elisa positive reports, acyc10vir and cefotaxime discontinued and Erythromycin and Dexamethasone started. A brain CT scan was done without abnormality. Convalescent sera after discharging patient were analyzed and it was strongly pO$itive for IgG-Elisa assay for mycoplasma pneumoma.The patient was two weeks on orally erythromycin and one week on dexamethazone and she discharged after 20 days hospitalization.Neurologic complications as an extra-pulmonary complication of M. pneumonia infection usually occur 10 days after respiratory syndrome with a range of 3-23 days. The age range of patients with CNS syndromes is 0.8 to 14.6 years.The diagnosis of CNS syndrome in mycoplasma infection associated with meningitis or having evidence of mycoplasma infection associated with neurologic syndromes makes encephalitis. IgM-Elisa assay is a sensitive and specific test. A rising IgG-Elisa test in convalescent sera (4 fold or more) suggest infection. E.E.G. abnormalities in CNS mycoplasma infection are a common finding. Mycoplasma infection with CNS involvement is believed to have autoimmune pathogenesis and interval between respiratory illness and CNS syndrome confirms this suggestion.

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APA: Copy

PANAHI, MAHMOUD. (2003). DENOUEMENT CONTINUED FROM PAGE 14. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 45(78), 117-118. SID. https://sid.ir/paper/52214/en

Vancouver: Copy

PANAHI MAHMOUD. DENOUEMENT CONTINUED FROM PAGE 14. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2003;45(78):117-118. Available from: https://sid.ir/paper/52214/en

IEEE: Copy

MAHMOUD PANAHI, “DENOUEMENT CONTINUED FROM PAGE 14,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 45, no. 78, pp. 117–118, 2003, [Online]. Available: https://sid.ir/paper/52214/en

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