Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report
Abstract Background Mycoplasma pneumoniae is a pathogen that causes community-acquired pneumonia in children, and it is often accompanied by various extrapulmonary complications. While intestinal necrosis is relatively rare among these extrapulmonary manifestations, they can be severe and life threa...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-08-01
|
| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-025-11481-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849226597524045824 |
|---|---|
| author | Xuejing Li Tingting Lin Ken Chen Danli Wang Jiahui Yu Lei Wu Lanfang Tang |
| author_facet | Xuejing Li Tingting Lin Ken Chen Danli Wang Jiahui Yu Lei Wu Lanfang Tang |
| author_sort | Xuejing Li |
| collection | DOAJ |
| description | Abstract Background Mycoplasma pneumoniae is a pathogen that causes community-acquired pneumonia in children, and it is often accompanied by various extrapulmonary complications. While intestinal necrosis is relatively rare among these extrapulmonary manifestations, they can be severe and life threatening. Case presentation We present an uncommon extrapulmonary complication of intestinal necrosis caused by nonocclusive mesenteric ischemia (NOMI) in a six-year-old child with M. pneumoniae pneumonia. Although the patient exhibited segmental embolism in their pulmonary artery and right atrial appendage, neither computed tomography angiography nor postoperative pathology revealed mesenteric vascular thrombosis. The patient’s mesenteric arteries were patent without occlusion or thrombosis, and the pathological findings indicated ischemic enteritis, which is consistent with NOMI. Conclusions Intestinal necrosis caused by NOMI is a rare but severe extrapulmonary complication of Mycoplasma pneumoniae infection. Compared to acute occlusive mesenteric ischemia, diagnosing NOMI is significantly more challenging due to the inherent difficulty in detecting vasospasm through imaging studies, often resulting in delayed intervention and higher mortality. Thus, integrating other diagnostic methods, clinical manifestations, and multidisciplinary diagnosis and treatment in medical practice are essential for ensuring accurate diagnoses and appropriate treatment. |
| format | Article |
| id | doaj-art-b91030ac3ee14ed2af2cf2df7d2fe964 |
| institution | Kabale University |
| issn | 1471-2334 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj-art-b91030ac3ee14ed2af2cf2df7d2fe9642025-08-24T11:10:20ZengBMCBMC Infectious Diseases1471-23342025-08-012511610.1186/s12879-025-11481-6Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case reportXuejing Li0Tingting Lin1Ken Chen2Danli Wang3Jiahui Yu4Lei Wu5Lanfang Tang6Department of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of General Surgery, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthDepartment of Pulmonology, Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child HealthAbstract Background Mycoplasma pneumoniae is a pathogen that causes community-acquired pneumonia in children, and it is often accompanied by various extrapulmonary complications. While intestinal necrosis is relatively rare among these extrapulmonary manifestations, they can be severe and life threatening. Case presentation We present an uncommon extrapulmonary complication of intestinal necrosis caused by nonocclusive mesenteric ischemia (NOMI) in a six-year-old child with M. pneumoniae pneumonia. Although the patient exhibited segmental embolism in their pulmonary artery and right atrial appendage, neither computed tomography angiography nor postoperative pathology revealed mesenteric vascular thrombosis. The patient’s mesenteric arteries were patent without occlusion or thrombosis, and the pathological findings indicated ischemic enteritis, which is consistent with NOMI. Conclusions Intestinal necrosis caused by NOMI is a rare but severe extrapulmonary complication of Mycoplasma pneumoniae infection. Compared to acute occlusive mesenteric ischemia, diagnosing NOMI is significantly more challenging due to the inherent difficulty in detecting vasospasm through imaging studies, often resulting in delayed intervention and higher mortality. Thus, integrating other diagnostic methods, clinical manifestations, and multidisciplinary diagnosis and treatment in medical practice are essential for ensuring accurate diagnoses and appropriate treatment.https://doi.org/10.1186/s12879-025-11481-6Mycoplasma pneumoniaePneumoniaAcute mesenteric ischemiaNonocclusive mesenteric ischemiaIntestinal necrosis |
| spellingShingle | Xuejing Li Tingting Lin Ken Chen Danli Wang Jiahui Yu Lei Wu Lanfang Tang Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report BMC Infectious Diseases Mycoplasma pneumoniae Pneumonia Acute mesenteric ischemia Nonocclusive mesenteric ischemia Intestinal necrosis |
| title | Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report |
| title_full | Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report |
| title_fullStr | Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report |
| title_full_unstemmed | Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report |
| title_short | Intestinal necrosis due to nonocclusive mesenteric ischemia in a child with Mycoplasma pneumoniae pneumonia: a case report |
| title_sort | intestinal necrosis due to nonocclusive mesenteric ischemia in a child with mycoplasma pneumoniae pneumonia a case report |
| topic | Mycoplasma pneumoniae Pneumonia Acute mesenteric ischemia Nonocclusive mesenteric ischemia Intestinal necrosis |
| url | https://doi.org/10.1186/s12879-025-11481-6 |
| work_keys_str_mv | AT xuejingli intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT tingtinglin intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT kenchen intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT danliwang intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT jiahuiyu intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT leiwu intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport AT lanfangtang intestinalnecrosisduetononocclusivemesentericischemiainachildwithmycoplasmapneumoniaepneumoniaacasereport |