Abstract
A case of acute haemorrhagic leukoencephalitis in an 11-year old girl demonstrates the usefulness of computerized tomography which shows large, asymmetric hypodense areas in the white matter and diffuse oedema. The causative role of a Mycoplasma pneumoniae infection is suggested by positive serology and by a high level of cold anti-l agglutinins. Treatment with corticosteroids in massive doses combined with a tetracycline resulted in complete cure without sequelae.
MeSH terms
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Acute Disease
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Adrenal Cortex Hormones / therapeutic use
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Agglutinins / analysis
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Brain / diagnostic imaging
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Brain Edema / diagnostic imaging
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Cerebral Hemorrhage / etiology
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Child
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Cryoglobulins
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Demyelinating Diseases / diagnosis*
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Encephalitis / diagnosis*
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Encephalitis / drug therapy
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Encephalitis / etiology
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Female
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Humans
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Mycoplasma Infections / immunology
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Mycoplasma pneumoniae / immunology
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Tomography, X-Ray Computed
Substances
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Adrenal Cortex Hormones
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Agglutinins
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Cryoglobulins
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cold agglutinins