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Misdiagnosis of post-traumatic splenic rupture in a patient with acute cold agglutinin disease due to Mycoplasma infection.

Abstract
We describe a case of cold agglutinin disease, secondary to Mycoplasma pneumoniae infection, which presented with anaemia and abdominal pains in apparent succession to a thoraco-abdominal trauma. An exploratory laparotomy, carried out because of suspected post-traumatic rupture of the spleen, was complicated by a transitory cardiorespiratory arrest. The subsequent and correct diagnosis of the mycoplasmal infection and the cold agglutinins led to specific and successful therapy. The previously unknown hypertrophic cardiomyopathy was a contributing factor to the cardiorespiratory arrest.
AuthorsL Cirasino, A Marcotti, G Barosi, F Massaro, A Silvani
JournalScandinavian journal of infectious diseases (Scand J Infect Dis) Vol. 29 Issue 5 Pg. 522-4 ( 1997) ISSN: 0036-5548 [Print] SWEDEN
PMID9435047 (Publication Type: Case Reports, Journal Article)
Topics
  • Anemia, Hemolytic, Autoimmune (diagnosis, etiology)
  • Cardiomyopathy, Hypertrophic (complications)
  • Diagnosis, Differential
  • Humans
  • Male
  • Middle Aged
  • Mycoplasma Infections (complications, diagnosis)
  • Splenic Rupture (diagnosis)

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