Tags

Type your tag names separated by a space and hit enter

[Febrile respiratory infection and erythema in a 25-year-old man].
Dtsch Med Wochenschr. 2003 Feb 07; 128(6):261-4.DM

Abstract

HISTORY AND CLINICAL FINDINGS

A 26-year-old man fell acutely ill with fever (39 degrees C), rigor, dry cough, headache and pain in the neck and limbs. Ambulant treatment with amoxycillin, later cefuroximaxetil, worsened his general condition. At admission to hospital he had, over his trunk and limbs, cocarde-like, erythematous efflorescences up to 2 cm in diameter with central elevations and blisters. Additional acute bronchitis, pharyngitis, stomatitis, tonsillitis, conjunctivitis and urethritis indicated extensive mucosal involvement.

INVESTIGATIONS

Significant findings were: 9900/microl WBC, ESR 57 mm at one hour, C-reactive protein 160 mg/l, capillary pO2 6.4 kPa, pCO2 4.2 kPa. Mycoplasma serology (days 1, 8, 15) took a typical course. Chest radiogram showed an interstitial infiltrate on day 5.

DIAGNOSIS

Respiratory Mycoplasma infection with interstitial pneumonia and exudative erythema multiforme.

TREATMENT AND COURSE

Because infection with an atypical pathogen was suspected, antibiotic treatment was changed to erythromycin and, at the suggestion of the dermatologist and ophthalmologist, local treatment (erythromycin, dexamethasone and dexpanthenol) was begun. Mycoplasma serology was first positive on day 3. The fever had disappeared on day 6 and the rash had regressed. Blood gases and blood picture were normal by day 8. The patient was discharged on day 18, after marked improvement of the skin and mucosal changes.

CONCLUSION

The occurrence of a rare dermatological complication of a relatively common respiratory Mycoplasma infection can, when the erythema precedes positive Mycoplasma serology, aid in the differential diagnosis.

Authors+Show Affiliations

Medizinische Klinik I, Pneumologie, Kardiologie und Intensivmedizin, Universität Leipzig. stefan.hammerschmidt@t-online.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

ger

PubMed ID

12571794

Citation

Hammerschmidt, S, et al. "[Febrile Respiratory Infection and Erythema in a 25-year-old Man]." Deutsche Medizinische Wochenschrift (1946), vol. 128, no. 6, 2003, pp. 261-4.
Hammerschmidt S, Gessner C, Seyfarth HJ, et al. [Febrile respiratory infection and erythema in a 25-year-old man]. Dtsch Med Wochenschr. 2003;128(6):261-4.
Hammerschmidt, S., Gessner, C., Seyfarth, H. J., Schauer, J., & Wirtz, H. (2003). [Febrile respiratory infection and erythema in a 25-year-old man]. Deutsche Medizinische Wochenschrift (1946), 128(6), 261-4.
Hammerschmidt S, et al. [Febrile Respiratory Infection and Erythema in a 25-year-old Man]. Dtsch Med Wochenschr. 2003 Feb 7;128(6):261-4. PubMed PMID: 12571794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Febrile respiratory infection and erythema in a 25-year-old man]. AU - Hammerschmidt,S, AU - Gessner,C, AU - Seyfarth,H-J, AU - Schauer,J, AU - Wirtz,H, PY - 2003/2/7/pubmed PY - 2003/3/8/medline PY - 2003/2/7/entrez SP - 261 EP - 4 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch. Med. Wochenschr. VL - 128 IS - 6 N2 - HISTORY AND CLINICAL FINDINGS: A 26-year-old man fell acutely ill with fever (39 degrees C), rigor, dry cough, headache and pain in the neck and limbs. Ambulant treatment with amoxycillin, later cefuroximaxetil, worsened his general condition. At admission to hospital he had, over his trunk and limbs, cocarde-like, erythematous efflorescences up to 2 cm in diameter with central elevations and blisters. Additional acute bronchitis, pharyngitis, stomatitis, tonsillitis, conjunctivitis and urethritis indicated extensive mucosal involvement. INVESTIGATIONS: Significant findings were: 9900/microl WBC, ESR 57 mm at one hour, C-reactive protein 160 mg/l, capillary pO2 6.4 kPa, pCO2 4.2 kPa. Mycoplasma serology (days 1, 8, 15) took a typical course. Chest radiogram showed an interstitial infiltrate on day 5. DIAGNOSIS: Respiratory Mycoplasma infection with interstitial pneumonia and exudative erythema multiforme. TREATMENT AND COURSE: Because infection with an atypical pathogen was suspected, antibiotic treatment was changed to erythromycin and, at the suggestion of the dermatologist and ophthalmologist, local treatment (erythromycin, dexamethasone and dexpanthenol) was begun. Mycoplasma serology was first positive on day 3. The fever had disappeared on day 6 and the rash had regressed. Blood gases and blood picture were normal by day 8. The patient was discharged on day 18, after marked improvement of the skin and mucosal changes. CONCLUSION: The occurrence of a rare dermatological complication of a relatively common respiratory Mycoplasma infection can, when the erythema precedes positive Mycoplasma serology, aid in the differential diagnosis. SN - 0012-0472 UR - https://www.unboundmedicine.com/medline/citation/12571794/[Febrile_respiratory_infection_and_erythema_in_a_25_year_old_man]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2003-37076 DB - PRIME DP - Unbound Medicine ER -