Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement

<em>Mycoplasma pneumoniae</em> (<em>M. pneumoniae</em>) is a major cause of community acquired respiratory infections. And it also causes a number of extrapulmonary manifestations including cardiovascular, dermatological, musculoskeletal, and hematological systems. But, acute...

Full description

Bibliographic Details
Main Authors: Han Taek Jeong, Jae Young Oh, Jung Eun Song, Byung Seok Kim, Chang Hyeong Lee
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2017-07-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2017.70.1.50
_version_ 1828517473862811648
author Han Taek Jeong
Jae Young Oh
Jung Eun Song
Byung Seok Kim
Chang Hyeong Lee
author_facet Han Taek Jeong
Jae Young Oh
Jung Eun Song
Byung Seok Kim
Chang Hyeong Lee
author_sort Han Taek Jeong
collection DOAJ
description <em>Mycoplasma pneumoniae</em> (<em>M. pneumoniae</em>) is a major cause of community acquired respiratory infections. And it also causes a number of extrapulmonary manifestations including cardiovascular, dermatological, musculoskeletal, and hematological systems. But, acute hepatitis without lung involvement is rare in adults. Here, we report a case of 32-year-old man who presented with fever, chilling, myalgia, and headache. Biochemical analysis showed severely impaired liver function and leukopenia. Laboratory tests and liver biopsy demonstrated a hepatocellular pattern of <em>M. pneumoniae</em>-associated acute hepatitis. Clinical symptoms and laboratory parameters are improved rapidly under treatment with macrolide. Therefore, We recommend that phsycians should consider a possibility of <em>M. pneumoniae</em> infection in acute hepatitis without lung and extrapulmonary involvement, when other more frequent causes have been excluded.
first_indexed 2024-12-11T18:42:05Z
format Article
id doaj.art-e9f7ae2f75d24553bb2561c30f693ac0
institution Directory Open Access Journal
issn 1598-9992
language English
last_indexed 2024-12-11T18:42:05Z
publishDate 2017-07-01
publisher Jin Publishing & Printing Co.
record_format Article
series The Korean Journal of Gastroenterology
spelling doaj.art-e9f7ae2f75d24553bb2561c30f693ac02022-12-22T00:54:35ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922017-07-01701505310.4166/kjg.2017.70.1.50kjg.2017.70.1.50Mycoplasma pneumoniae-associated Hepatitis without Lung InvolvementHan Taek Jeong0Jae Young Oh1Jung Eun Song2Byung Seok Kim3Chang Hyeong Lee4Division of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, KoreaDivision of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, KoreaDivision of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, KoreaDivision of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, KoreaDivision of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea<em>Mycoplasma pneumoniae</em> (<em>M. pneumoniae</em>) is a major cause of community acquired respiratory infections. And it also causes a number of extrapulmonary manifestations including cardiovascular, dermatological, musculoskeletal, and hematological systems. But, acute hepatitis without lung involvement is rare in adults. Here, we report a case of 32-year-old man who presented with fever, chilling, myalgia, and headache. Biochemical analysis showed severely impaired liver function and leukopenia. Laboratory tests and liver biopsy demonstrated a hepatocellular pattern of <em>M. pneumoniae</em>-associated acute hepatitis. Clinical symptoms and laboratory parameters are improved rapidly under treatment with macrolide. Therefore, We recommend that phsycians should consider a possibility of <em>M. pneumoniae</em> infection in acute hepatitis without lung and extrapulmonary involvement, when other more frequent causes have been excluded.http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2017.70.1.50Mycoplasma pneumoniaeHepatitisAdultLeukopenia
spellingShingle Han Taek Jeong
Jae Young Oh
Jung Eun Song
Byung Seok Kim
Chang Hyeong Lee
Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
The Korean Journal of Gastroenterology
Mycoplasma pneumoniae
Hepatitis
Adult
Leukopenia
title Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
title_full Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
title_fullStr Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
title_full_unstemmed Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
title_short Mycoplasma pneumoniae-associated Hepatitis without Lung Involvement
title_sort mycoplasma pneumoniae associated hepatitis without lung involvement
topic Mycoplasma pneumoniae
Hepatitis
Adult
Leukopenia
url http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2017.70.1.50
work_keys_str_mv AT hantaekjeong mycoplasmapneumoniaeassociatedhepatitiswithoutlunginvolvement
AT jaeyoungoh mycoplasmapneumoniaeassociatedhepatitiswithoutlunginvolvement
AT jungeunsong mycoplasmapneumoniaeassociatedhepatitiswithoutlunginvolvement
AT byungseokkim mycoplasmapneumoniaeassociatedhepatitiswithoutlunginvolvement
AT changhyeonglee mycoplasmapneumoniaeassociatedhepatitiswithoutlunginvolvement