Mycoplasma pneumonia with severe cold agglutinin hemolysis, thrombocytosis, leukemoid reaction and acute renal failure
(2023) In IDCases 31.- Abstract
Mycoplasma pneumoniae (M. pneumoniae) is a common cause of community acquired pneumonia and although most cases are mild, complications sometimes occur. Cold agglutinin hemolysis is a known complication of M. pneumoniae infection, and usually presents as a mild and transient hemolysis. Here we present a case of infection with M. pneumoniae in a 64-year-old male that caused life threatening hemolysis that required multiple blood transfusions. The patient also presented with acute kidney failure and a marked leukemoid reaction and thrombocytosis. This is a very rare combination of symptoms that could have led the clinicians to suspect a more virulent etiology than M. pneumoniae, thereby delaying adequate antibiotic treatment.
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1e4a106d-e5d6-481d-af44-082cd785af2f
- author
- Widén, Johan LU ; Jönsson, Göran LU and Karlsson, Ulf LU
- organization
- publishing date
- 2023-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Acute kidney failure, Cold-agglutinin hemolysis, Corticosteroids, Leukemoid reaction, Mycoplasma pneumoniae
- in
- IDCases
- volume
- 31
- article number
- e01689
- publisher
- Elsevier
- external identifiers
-
- pmid:36687368
- scopus:85146352639
- ISSN
- 2214-2509
- DOI
- 10.1016/j.idcr.2023.e01689
- language
- English
- LU publication?
- yes
- id
- 1e4a106d-e5d6-481d-af44-082cd785af2f
- date added to LUP
- 2023-02-15 10:36:19
- date last changed
- 2024-06-13 23:58:29
@article{1e4a106d-e5d6-481d-af44-082cd785af2f,
abstract = {{<p>Mycoplasma pneumoniae (M. pneumoniae) is a common cause of community acquired pneumonia and although most cases are mild, complications sometimes occur. Cold agglutinin hemolysis is a known complication of M. pneumoniae infection, and usually presents as a mild and transient hemolysis. Here we present a case of infection with M. pneumoniae in a 64-year-old male that caused life threatening hemolysis that required multiple blood transfusions. The patient also presented with acute kidney failure and a marked leukemoid reaction and thrombocytosis. This is a very rare combination of symptoms that could have led the clinicians to suspect a more virulent etiology than M. pneumoniae, thereby delaying adequate antibiotic treatment.</p>}},
author = {{Widén, Johan and Jönsson, Göran and Karlsson, Ulf}},
issn = {{2214-2509}},
keywords = {{Acute kidney failure; Cold-agglutinin hemolysis; Corticosteroids; Leukemoid reaction; Mycoplasma pneumoniae}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{IDCases}},
title = {{Mycoplasma pneumonia with severe cold agglutinin hemolysis, thrombocytosis, leukemoid reaction and acute renal failure}},
url = {{http://dx.doi.org/10.1016/j.idcr.2023.e01689}},
doi = {{10.1016/j.idcr.2023.e01689}},
volume = {{31}},
year = {{2023}},
}