Paradoxical Brain Embolism Induced by Mycoplasma pneumoniae Infection with Deep Venous Thrombus
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概要
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A 21-year-old man had sudden-onset right hemiplegia and aphasia with respiratory infection. A chest X-ray 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.
著者
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Watanabe Hirohisa
Department Of Neurology Nagoya Daini Red Cross Hospital
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Hattori Naoki
Department Of Healthy Food Kanematsu Wellness Corporation
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KAWAI Hiromichi
Division of Endocrinology and Metabolism, Department of Medicine, Shiga University of Medical Scienc
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SOBUE Gen
Department of Internal Medicine, Aichi Medical University School of Medicine
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Kawai Hiromichi
Division of Neurology, Department of Internal Medicine, Shiga University of Medical Science
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Senda Joe
Department of Neurology, Nagoya University Graduate School of Medicine
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Ito Mizuki
Department of Neurology, Nagoya University Graduate School of Medicine
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Atsuta Naoki
Department of Neurology, Nagoya University Graduate School of Medicine
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