Immunologic mechanisms suggested in the association of M. pneumoniae infection and extrapulmonary disease: a review
Numerous case reports and retrospective studies suggest an association between M. pneumoniae respiratory infection and extrapulmonary complications, the most common of which involve the central nervous system. There is insufficient evidence based on prospective, carefully controlled observations to...
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Veröffentlicht in: | The Yale journal of biology & medicine 1983, Vol.56 (5-6), p.475-479 |
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description | Numerous case reports and retrospective studies suggest an association between M. pneumoniae respiratory infection and extrapulmonary complications, the most common of which involve the central nervous system. There is insufficient evidence based on prospective, carefully controlled observations to confirm this association at the present time. A variety of mechanisms has been suggested to explain the involvement of distant organ systems. These include metastatic infection, autoimmunity, toxin generation, and altered host immunity. While none of these is based on evidence to prove an association, the state of anergy which accompanies M. pneumoniae pneumonia deserves consideration and further study as the most plausible link between infecting organisms and extrapulmonary manifestations. |
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There is insufficient evidence based on prospective, carefully controlled observations to confirm this association at the present time. A variety of mechanisms has been suggested to explain the involvement of distant organ systems. These include metastatic infection, autoimmunity, toxin generation, and altered host immunity. While none of these is based on evidence to prove an association, the state of anergy which accompanies M. pneumoniae pneumonia deserves consideration and further study as the most plausible link between infecting organisms and extrapulmonary manifestations.</description><subject>Animals</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Autoantibodies - analysis</subject><subject>Autoimmune Diseases - immunology</subject><subject>Bacterial Toxins</subject><subject>Brain - immunology</subject><subject>Central Nervous System Diseases - epidemiology</subject><subject>Central Nervous System Diseases - etiology</subject><subject>Central Nervous System Diseases - immunology</subject><subject>Humans</subject><subject>Immune Tolerance</subject><subject>Mycoplasma pneumoniae</subject><subject>Mycoplasma pneumoniae - immunology</subject><subject>Pneumonia, Mycoplasma - complications</subject><subject>Pneumonia, Mycoplasma - epidemiology</subject><subject>Pneumonia, Mycoplasma - immunology</subject><issn>0044-0086</issn><issn>1551-4056</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctKxEAQRYMoOj4-QeiVu0j1K524EGTwMTDiRteh0qmZaUm6Yzrx8fcGHURXrmpxL4fDrZ1kxrXmqQKd7SYzAKVSgDw7SA5jfAaQmmu5n-xnSkqd5bMkLtp29KEJa2dZS3aD3sU2sjiu1xQHqpnzbNgQwxiDdTi44FlYsftz1nka2-Ad0tRZkf2K0NeM3oceu7GZQuw_WO0iYaQLhqynV0dvx8neCptIJ9t7lDzdXD_O79Llw-1ifrVMOwFmSFUheFUUFZIC5LnMjDSAYLnMUFfEOUFOZLJKWahzEoRWGoW6XqEUtbHyKLn85nZj1VJtyU9eTdn1rp28yoCu_Jt4tynX4bUUugDNYQKcbQF9eBmnOcrWRUtNg57CGMscCiGzXPxbFCAKo4yZiqe_lX5ctv-Qn4Cri3A</recordid><startdate>1983</startdate><enddate>1983</enddate><creator>Fernald, G W</creator><general>Yale Journal of Biology and Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>1983</creationdate><title>Immunologic mechanisms suggested in the association of M. pneumoniae infection and extrapulmonary disease: a review</title><author>Fernald, G W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p207t-4921b99bae40a18367370a0c136a5be11e08ee76b4c0d8e2eac374a5dfa32d7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Animals</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Autoantibodies - analysis</topic><topic>Autoimmune Diseases - immunology</topic><topic>Bacterial Toxins</topic><topic>Brain - immunology</topic><topic>Central Nervous System Diseases - epidemiology</topic><topic>Central Nervous System Diseases - etiology</topic><topic>Central Nervous System Diseases - immunology</topic><topic>Humans</topic><topic>Immune Tolerance</topic><topic>Mycoplasma pneumoniae</topic><topic>Mycoplasma pneumoniae - immunology</topic><topic>Pneumonia, Mycoplasma - complications</topic><topic>Pneumonia, Mycoplasma - epidemiology</topic><topic>Pneumonia, Mycoplasma - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernald, G W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Yale journal of biology & medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernald, G W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunologic mechanisms suggested in the association of M. pneumoniae infection and extrapulmonary disease: a review</atitle><jtitle>The Yale journal of biology & medicine</jtitle><addtitle>Yale J Biol Med</addtitle><date>1983</date><risdate>1983</risdate><volume>56</volume><issue>5-6</issue><spage>475</spage><epage>479</epage><pages>475-479</pages><issn>0044-0086</issn><eissn>1551-4056</eissn><abstract>Numerous case reports and retrospective studies suggest an association between M. pneumoniae respiratory infection and extrapulmonary complications, the most common of which involve the central nervous system. There is insufficient evidence based on prospective, carefully controlled observations to confirm this association at the present time. A variety of mechanisms has been suggested to explain the involvement of distant organ systems. These include metastatic infection, autoimmunity, toxin generation, and altered host immunity. While none of these is based on evidence to prove an association, the state of anergy which accompanies M. pneumoniae pneumonia deserves consideration and further study as the most plausible link between infecting organisms and extrapulmonary manifestations.</abstract><cop>United States</cop><pub>Yale Journal of Biology and Medicine</pub><pmid>6433568</pmid><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Animals Antibodies, Bacterial - analysis Autoantibodies - analysis Autoimmune Diseases - immunology Bacterial Toxins Brain - immunology Central Nervous System Diseases - epidemiology Central Nervous System Diseases - etiology Central Nervous System Diseases - immunology Humans Immune Tolerance Mycoplasma pneumoniae Mycoplasma pneumoniae - immunology Pneumonia, Mycoplasma - complications Pneumonia, Mycoplasma - epidemiology Pneumonia, Mycoplasma - immunology |
title | Immunologic mechanisms suggested in the association of M. pneumoniae infection and extrapulmonary disease: a review |
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