Stevens-Johnson syndrome after mycoplasma pneumoniae infection
| Autor: | Jennifer A. Oman, Virginia W Tsai |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Nasal congestion Risk Assessment Severity of Illness Index Eye Discharge Severity of illness Pneumonia Mycoplasma medicine Humans Child Antigens Bacterial business.industry medicine.disease Rash Dermatology Mycoplasma pneumoniae Cold sore stomatognathic diseases Pneumonia Nystatin Stevens-Johnson Syndrome Emergency Medicine medicine.symptom Cough medicine business Emergency Service Hospital medicine.drug Follow-Up Studies |
| Zdroj: | The Journal of emergency medicine. 40(3) |
| ISSN: | 0736-4679 |
| Popis: | An 11-year-old boy presented to the Emergency Department complaining of a rash over his extremities and cold sores on the lips and inside the mouth. His mother stated that about 10 days prior, the patient developed a cough and mild nasal congestion. He was given a “cough medicine” from Mexico with no improvement of symptoms. He subsequently developed a fever as high as 38.4°C (101°F), which resolved after a couple of days and did not return. The patient went on to develop swollen eyelids, eye discharge, and swollen and hemorrhagic lips that crusted with black eschars (Figure 1). The patient’s buccal mucosa and gingivae were swollen and erythematous, and later became covered with whitish plaques. He had no history of cold sores or herpetic-type lesions. After the development of eye and oral symptoms, a rash erupted on the palms, soles of the feet, back, and scattered throughout the extremities (Figures 2, 3, 4). His mother described the skin lesions as appearing as pink, fluid-filled blisters initially, then progressively became darker and flatter. The patient reported that the oral lesions and skin rash were painful, and he could not tolerate oral intake. During this period, the patient was seen by multiple physicians and given prescriptions for nystatin, acyclovir, ampicillin, gentamicin eye drops, and naprosyn. He also received an intramuscular antibiotic shot of unknown type. However, both the patient and |
| Databáze: | OpenAIRE |
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