Mycoplasma pneumoniae- induced rash and mucositis: a recently described entity

BMJ Case Rep. 2017 Aug 22:2017:bcr2017220768. doi: 10.1136/bcr-2017-220768.

Abstract

Mycoplasmapneumoniae is a common cause of respiratory infections. Although most cases are mild, some patients have extrapulmonary complications including mucocutaneous eruptions including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and erythemamultiforme (EM). Recently, a new entity, called M. pneumoniae-induced rash and mucositis (MIRM) was described. The authors present a clinical case difficult to classify attending to the classical classification of epidermolytic syndromes that meets the criteria proposed for the diagnosis of MIRM. The mucocutaneous disease associated with M. pneumoniae presents predominant mucositis, with scarce or absent cutaneous involvement. Because of the distinct morphology, pathophysiology and benign clinical course, MIRM should be considered as a new entity, distinct from SJS/TEN and EM.

Keywords: Dermatology; Medical Education; Pneumonia (infectious Disease).

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Child
  • Clarithromycin / administration & dosage
  • Clarithromycin / therapeutic use*
  • Diagnosis, Differential
  • Erythema Multiforme / etiology
  • Fever / etiology
  • Humans
  • Immunoglobulins, Intravenous / administration & dosage
  • Immunoglobulins, Intravenous / therapeutic use*
  • Male
  • Mucositis / etiology
  • Mycoplasma pneumoniae / isolation & purification*
  • Pneumonia, Mycoplasma / complications
  • Pneumonia, Mycoplasma / diagnosis*
  • Pneumonia, Mycoplasma / diagnostic imaging
  • Pneumonia, Mycoplasma / drug therapy
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Immunoglobulins, Intravenous
  • Clarithromycin