Acute liver failure and secondary TMA-like phenomenon following SARS-CoV-2 and Mycoplasma pneumoniae co-detection in a child: a case report - Scorecard - MDSpire

Acute liver failure and secondary TMA-like phenomenon following SARS-CoV-2 and Mycoplasma pneumoniae co-detection in a child: a case report

  • By

  • Qian Liu

  • Ting Kang

  • Wenjuan Zeng

  • Yuan Long

  • May 28, 2026

  • 0 min

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Clinical Scorecard: Acute liver failure and a TMA-like condition in a child with concurrent SARS-CoV-2 and Mycoplasma pneumoniae infection: a case study

At a Glance

CategoryDetail
Condition
Key MechanismsCo-detection of SARS-CoV-2 and Mycoplasma pneumoniae leading to severe hyperinflammation and organ dysfunction
Target Population
Care Setting

Key Highlights

  • 20-month-old girl presented with sepsis and acute liver failure
  • Severe hyperinflammation indicated by elevated ferritin and IL-6 levels
  • Development of secondary TMA-like phenomenon characterized by thrombocytopenia and acute kidney injury

Guideline-Based Recommendations

Diagnosis

  • Comprehensive etiological workup including microbiological testing for SARS-CoV-2 and M. pneumoniae

Management

  • Aggressive supportive care including fluid resuscitation and glucocorticoids

Monitoring & Follow-up

  • Monitoring for signs of secondary TMA-like phenomenon in patients with severe hyperinflammation

Risks

  • Potential for acute liver failure and secondary thrombotic microangiopathy in co-detected infections

Patient & Prescribing Data

Previously healthy children with concurrent SARS-CoV-2 and M. pneumoniae infections

Clinical Best Practices

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