PSYCHIATRIC, ADDITIVE OR ORGANIC: A CHALLENGE IN ADOLESCENCE

Authors

  • Maria Inês Monteiro S. Pediatria, CH Entre o Douro e Vouga
  • Augusto C Ferreira S. Neurologia, CH Entre o Douro e Vouga
  • Hans Peter Grebe S. Neurologia, CH Entre o Douro e Vouga
  • Lúcia Gomes S. Pediatria, CH Entre o Douro e Vouga,
  • Miguel Costa S. Pediatria, CH Entre o Douro e Vouga,

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v22.i4.9895

Keywords:

Adolescents, behaviour disturbances, encephalitis, Mycoplasma pneumonia

Abstract

Introduction: The extension of paediatric age to the adolescents introduced new challenges in the paediatric health care. Acute behaviour disturbances are usually associated with drugs or alcohol abuse. Besides that, they can represent the onset of either psychiatric disorders or neurological diseases of both infectious or autoimmune origin.

Clinical case: A teenager presented with sudden progressive behavioural disturbances. The investigation performed allowed the diagnosis of Mycoplasma pneumoniae meningoencephalitis.

Discussion / Conclusion: This case report underlines the need of a multidisciplinary approach to the adolescent with behaviour disturbances. The suspicion of an organic disease must always be kept in mind, and laboratory and imaging studies conducted to the possibility of a inflammatory neurological disorder, both infectious or immune. Mycoplasma pneumoniae is mainly a cause of respiratory disease but has the potential of extra pulmonary complications, being the neurological the most frequent of these. We highlight the challenging of evaluating teenagers in acute paediatric units.

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References

Daxboeck F, Blacky A, Seidl R, Krause R, Assadian O. Diag-

nosis, treatment and prognosis of Mycoplasma pneumoniae

childhood encephalitis: systematic review of 58 cases. J Child

Neurol 2004; 19:865 -71.

Guleria R, Nisar N, Chawla TC, Biswas NR. Mycoplasma

pneumoniae and central nervous system infections: a review.

J Lab Clin Med 2005; 146:55 -63.

Domenech C, Leveque N, Lina B, Najioullah F, Floret D. Role

of Mycoplasma pneumoniae in pediatric encephalitis. Eur J

Clin Microbiol Infect Dis 2009; 28:91 -4.

Talkington DF, Waites KB, Schwartz SB, Besser R. Emerging

from obscurity: Understanding pulmonary and extrapulmo-

nary syndromes, pathogenesis, and epidemiology of human

Mycoplasma pneumoniae infections. In: Emerging infections,

vol. 5 Washington, DC: ASM Press; 2001. p. 57 -84.

Meyer Sauter PM, Streuli JC, Iff T, Goetschel P. Mycoplasma

pneumoniae associated encephalitis in childhood -nervous

system disorder during or after a respiratory tract infection.

Klin Padiatr 2011; 223:209 -13.

Koskiniemi M. CNS manifestations associated with Myco-

plasma pneumoniae infections: summary of cases at the Uni-

versity of Helsinki, Finland, and review. Clin Infect Dis 1993;

:S52 -7.

Banerjee B, Petersen K. Psychosis following mycoplasma

pneumonia. Mil Med 2009; 174:1001 -4.

Delmas MC, Gauthier C, Rapin F. Manifestations neurologi-

ques des infections à Mycoplasma pneumoniae. Arch Pédiatr

; 3:573 -5.

Lewis P, Glaser CA. Encephalities. Pediatr Rev 2005; 26:353-

-63.

Christie LJ, Honarmand S, Talkington DF, Gavali SS, Preas

C, Pan CY, et al. Pediatric encephalitis: what is the role of

Mycoplasma pneumoniae? Pediatrics 2007; 120:305 -13.

Narita M. Pathogenesis of neurologic manifestations of Myco-

plasma pneumoniae infection. Pediatr Neurol 2009; 41:159-

-66.

Abramovitz P, Schvartzman P, Harel D, Lis I, Naot Y. Direct

invasion of the central nervous system by Mycoplasma pneu-

moniae: a report of two cases. J Infect Dis 1987; 155:482 -7.

Lin JJ, Lin KL, Hsia SH, Wu CT, Chou IJ, Wang HS. Analysis

of status epilepticus with Mycoplasma pneumoniae Encepha-

litis. Pediatr Neurol 2010; 43:41 -5.

Tsiodras S, Kelesidis I, Kelesidis T, Stamboulis E, Giama-

rellou H. Central nervous system manifestations of Mycoplas-

ma pneumoniae infections. J Infect 2005; 51:343 -54.

Arnold SE. Psychosis and mycoplasma penumoniae, Hillside

J Clin Psychiatry 1987; 9:231 -5.

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Published

2016-09-05

How to Cite

1.
Monteiro MI, Ferreira AC, Grebe HP, Gomes L, Costa M. PSYCHIATRIC, ADDITIVE OR ORGANIC: A CHALLENGE IN ADOLESCENCE. REVNEC [Internet]. 2016Sep.5 [cited 2024Dec.10];22(4):238-40. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/9895

Issue

Vol. 22 No. 4 (2013)

Section

Case Reports

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