Miller Fisher Syndrome Possibly Related to Mycoplasma Pneumoniae Infection: Report of One Case

疑似因肺炎黴漿菌感染後引起Miller Fisher症候群：一病例報告

薛凱中(Kai-Chung Hsueh) ； 周宜卿(I-Ching Chou) ； 許清祥(Ching-Hsiang Hsu) ； 郭煌宗(Huang-Tsung Kuo) ； 蔡輔仁(Fuu-Jen Tsai) ； 蔡長海(Chang-Hai Tsai)

《Acta Paediatrica Taiwanica》 45卷3期 (2004/06) Pp. 168-170

https://doi.org/10.7097/APT.200406.0168

摘要

Miller Fisher症候群，臨床表現包括：眼肌麻痺、運動失調、反射消失。它被認爲是Guillain Barre症候群的一個變異體，因爲兩者有一些相同的特征，但也有一些重要的、不同的臨床表現。Miller Fisher症候群的發病原理，及是否有牽涉到中樞社經系統病變，目前仍有爭議，配方將會討論。肺炎黴漿菌是很常見的病菌，且常在呼吸道症狀發生後造成一些社經併發症，但造成Miller Fisher症候群則在文獻中很少被提及。我們提出一個可能因爲黴漿菌感染而後造成Miller Fisher症候群的病例報告。

關鍵字

Miller Fisher症候群 ； 肺炎黴漿菌 ； Guillain-Barre症候群

並列摘要

Ophthalmoplegia, ataxia, and areflexia were first described in 1956 by Miller Fisher and later were referred to as symptoms of Miller Fisher syndrome (MFS). This syndrome shares certain features with the Guillain-Barré syndrome (GBS), including areflexia, cerebrospinalfluid findings and often a postinfectious presentation. It was believed to be a variant of GBS, but Miller Fisher syndrome has several key clinical features which differ from GBS. The anatomic location and pathogenesis of MFS continue to be a matter of debate. Our report focuses on a 6-year-old female patient who developed MFS following a respiratory tract infection with a serologically proven Mycoplasma pneumoniae infection. Although several neurological complications after Mycoplasma pneumoniae infection have been reported, subsequent MFS development has rarely been reported previously.

並列關鍵字

Miller Fisher syndrome ； Mycoplasma pneumoniae ； Guillain-Barré syndrome