Paradoxical brain embolism induced by Mycoplasma pneumoniae infection with deep venous thrombus

Joe Senda, Mizuki Ito, Naoki Atsuta, Hirohisa Watanabe, Naoki Hattori, Hiromichi Kawai, Gen Sobue

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

A 21-year-old man had sudden-onset right hemiplegia and aphasia with respiratory infection. A chest Xray disclosed consolidation in both lungs and magnetic resonance imaging showed an embolism in the left middle cerebral artery. A pelvic computed tomography scan revealed deep venous thrombus in both femoral veins. Patent foramen ovale was detected by transesophageal echocardiogram. Antibodies to M. pneumoniae were highly elevated, and hypercoagulability was subsequently detected. This case suggests that the possible pathogenic mechanism for M. pneumoniae infection-related stroke might be paradoxical brain embolism with deep venous thrombus as a consequence of the hypercoagulability related to this infection.

Original languageEnglish
Pages (from-to)2003-2005
Number of pages3
JournalInternal Medicine
Volume49
Issue number18
DOIs
Publication statusPublished - 2010
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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