A case of bilateral pneumonia with septic shock associated with myocarditis due to Mycoplasma pneumoniae

Abstract

A 16-years-old girl with bilateral pneumonia with septic shock and myocarditis was reported. She had fever and cough for 6 days prior to admission. She had also complained of chest pain, breathlessness. At the time of admission, her CXR P/A view revealed dense opacity of the both lower lung field with evidence of pulmonary edema. Echocardiogram reveals features of myocarditis with raised troponin I and Pro BNP. CT Chest revealed bilateral lower lobe consolidation and pulmonary edema Mycoplasma pneumonia is a frequent cause of respiratory tract infections. Sometimes it is associated with acute clinical myocarditis or pericarditis. Heart involvement is usually suspected when patients complain of chest pain, breathlessness, arrhythmia, congestive cardiac failure or conduction disturbances. We describe the first case of septic shock related to M. pneumoniae in a child with bilateral pneumonia with a favorable outcome after proper antibiotics, Ionotropes and systemic corticosteroids.