Case Report

Indian Journal of Hematology and Blood Transfusion

, Volume 27, Issue 1, pp 46-50

First online:

Mycoplasma pneumonia Infection: A Possible Trigger for Immune Thrombocytopenia

  • Shraga AvinerAffiliated withDepartment of Pediatrics, Barzilai Medical CenterFaculty of Health Sciences, Ben-Gurion University of the Negev Email author 
  • , Hagit MiskinAffiliated withDepartment of Pediatrics, Shaare Zedek Medical CenterThe Hebrew University Faculty of Medicine
  • , Daniel LondonAffiliated withFaculty of Health Sciences, Ben-Gurion University of the NegevRadiology Department, Barzilai Medical Center
  • , Shulamith HorowitzAffiliated withFaculty of Health Sciences, Ben-Gurion University of the NegevThe National Center for Mycoplasma, Clalit Health Services, Soroka University Medical Center
  • , Menachem SchlesingerAffiliated withDepartment of Pediatrics, Barzilai Medical CenterFaculty of Health Sciences, Ben-Gurion University of the Negev

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Abstract

Mycoplasma pneumonia (M. pneumonia) is usually not considered among the several pathogens that induce immune thrombocytopenia (ITP). We report a child with a clinical diagnosis of severe ITP that was associated with M. pneumonia pneumonia, and review the few cases described in the English literature. We suggest that thrombocytopenia associated with M. pneumonia infection may constitute a subset of ITP, although unlike ITP it occurs concomitantly with the infection and tends to be more severe than “classic” ITP. We recommend that prompt specific antibiotic and immune modulating treatment should be initiated in appropriate clinical settings.

Keywords

Immune Mycoplasma Pneumonia Thrombocytopenia