发热、咳嗽、意识障碍与肢体活动障碍，是重症支原体肺炎并脑梗死吗？

Fever, cough, consciousness disturbance and physical activity disorder, is severe Mycoplasma pneumoniae pneumonia complicated with cerebral infarction？

患儿为学龄期男童，因＂发热伴咳嗽6 d＂入院。入院后完善检查，明确支原体肺炎（重症）诊断。给予阿奇霉素联合美罗培南抗感染，甲泼尼龙减轻炎症，并行软式支气管镜检查解除支气管塑型物对呼吸道阻塞，并辅以对症支持治疗。治疗过程中，患者出现意识障碍、肢体活动障碍，经磁共振血管成像（MRA）证实为脑梗死。重症支原体肺炎患者并脑梗死临床罕见，致死率及致残率高。临床医师应及时关注病情变化，重视体格查体及实验室检测，重视多学科的合作。

The school - age boy was admitted to Tianjin Children＇s Hospital for ＂fever and cough for 6 days＂. After detail examinations, the diagnosis of severe Mycoplasma pneumoniae pneumonia was proved. Treatments anti - infection with Azithromycin and Meropenem;the obstruction of air way was relieved;assisted with symptomatic and supportive treatment. During the treatment, disorder of consciousness and hemiplegia of right limbs occurred, cerebral infarction was proved later by magnetic resonance angiography（MRA）. Severe Mycoplasma pneumoniae pneumonia complicated with cerebral infarction is clinically rare with a high morbidity and mortality. Attention should be paid to body examination and Laboratory test. Multi - disciplinary cooperation is helpful.