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Question

All of the following are extrapulmonary manifestations of mycoplasma infection EXCEPT:

The correct answer is
Dementia

Mycoplasma Infection: Extrapulmonary Manifestations

Extrapulmonary manifestations are symptoms or conditions affecting parts of the body other than the lungs during an infection like mycoplasma pneumonia. Identifying these helps in diagnosis and management.

Recognized Mycoplasma Extrapulmonary Manifestations

Mycoplasma pneumoniae infections can present with a range of symptoms beyond the respiratory tract. Commonly associated extrapulmonary manifestations include:

  • Neurological: Guillain-Barré syndrome (GBS), meningoencephalitis, peripheral neuropathy.
  • Dermatological: Stevens-Johnson syndrome (SJS), erythema multiforme.
  • Rheumatological: Arthritis (especially affecting joints like knees and ankles), myositis.
  • Cardiovascular: Myocarditis, pericarditis.
  • Hematological: Autoimmune hemolytic anemia.

Evaluating the Options

Let's examine each option in the context of mycoplasma infection:

  • Arthritis: Joint inflammation is a well-documented extrapulmonary complication of mycoplasma infection.
  • Guillain Barre syndrome: GBS is a known neurological complication associated with preceding infections, including mycoplasma.
  • Stevens Johnson syndrome: SJS is a severe dermatological reaction that can be triggered by mycoplasma infections.
  • Dementia: While mycoplasma can cause acute neurological symptoms (like confusion or encephalitis), dementia, characterized by chronic, progressive cognitive decline, is not typically listed as a direct or common extrapulmonary manifestation.

Identifying the Exception

Based on established medical literature, arthritis, Guillain-Barré syndrome, and Stevens-Johnson syndrome are recognized extrapulmonary manifestations of mycoplasma infection. Dementia is not typically categorized as such.

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Important Questions from Pneumonia

  1. According to the WHO clinical criteria, which of the following clinical signs are indicative of 'severe pneumonia or very severe disease' in children aged 2 months to 5 years? 

    1. Convulsions 

    2. Lower chest indrawing 

    3. Inability to feed 

    4. Stridor 

    Select the correct answer using the code given below.

  2. Which one of the following antigens is commonly associated with causation of Farmer's lung?
  3. The most common agent responsible for community acquired pneumonia is:
  4. Which of the following is/are the common infectious syndrome(s) associated with klebsiella pneumoniae?
    1. Pneumonia
    2. Intra-abdominal infections
    3. Hepatitis
    Select the correct answer using the code given below:
  5. Consider the following statements about staphylococcal pneumonia:
    1. Three-fourth of the patients are below the age of one year.
    2. Pneumatoceles are common.
    3. It is the commonest cause of empyema in a child below two years of age.
    4. The condition is easily amenable to treatment in the outdoors.
    Which of the above statements are correct?
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