Splenic infarction associated with transient anti-prothrombin antibodies is a rare manifestation of acute Mycoplasma pneumoniae infection.
Antiphospholipid antibodies
Mycoplasma pneumoniae
Splenic infarction
Thrombosis
anti-prothrombin antibodies
Journal
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
ISSN: 1769-664X
Titre abrégé: Arch Pediatr
Pays: France
ID NLM: 9421356
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
11
04
2019
revised:
29
08
2019
accepted:
06
10
2019
pubmed:
20
11
2019
medline:
1
5
2020
entrez:
20
11
2019
Statut:
ppublish
Résumé
We report the first paediatric case of splenic infarction following acute Mycoplasma pneumoniae infection with induction of anti-prothrombin (aPT) antibodies. A 12-year-old boy was admitted to the paediatric emergency department for a left pleuropneumonia and a splenic infarction. aPT antibodies were transitorily detected. The patient recovered fully after antibiotic therapy and a 3-month course of anticoagulation treatment. Antiphospholipid (aPL) antibodies induced by acute infections have already been reported but cases of clinically relevant thrombosis remain rare. The pathogenicity of aPT antibodies is discussed here. We hypothesize that these antibodies were involved in this symptomatic hypercoagulable state.
Identifiants
pubmed: 31740285
pii: S0929-693X(19)30150-2
doi: 10.1016/j.arcped.2019.10.001
pii:
doi:
Substances chimiques
Autoantibodies
0
Prothrombin
9001-26-7
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
483-486Informations de copyright
Copyright © 2019. Published by Elsevier Masson SAS.