Tags

Type your tag names separated by a space and hit enter

Mycoplasma pneumoniae-associated Mucositis: A Recently Described Entity.
Eur J Case Rep Intern Med. 2018; 5(11):000977.EJ

Abstract

Mycoplasma pneumoniae (MP) is a common cause of respiratory infections and can be associated with extrapulmonary complications. MP mucositis has recently been described as a distinct endemic clinical entity called Mycoplasma pneumoniae-induced rash and mucositis (MIRM). The authors present the case of a 46-year-old man with atypical pneumonia associated with exuberant mucositis, conjunctival hyperaemia and positive serological assays for MP IgM. The patient was treated with azithromycin and systemic corticosteroid therapy. Supportive care including pain management, intravenous hydration and mucosal care was also given. There was complete resolution of the pneumonia and mucositis. The presence of atypical pneumonia with mucosal involvement without cutaneous lesions and a favourable clinical evolution led to the diagnosis of MIRM.

LEARNING POINTS

Mycoplasma pneumoniae infection can be associated with mucocutaneous lesions. A new entity called Mycoplasma pneumoniae-induced rash and mucositis (MIRM) has been recently described. The mucocutaneous involvement associated with MIRM is predominantly mucositis with scarce or absent cutaneous expression.The clinical presentation, pathophysiology and disease outcomes of MIRM distinguish it from Stevens-Johnson syndrome/toxic epidermal necrolysis and erythema multiform.MIRM has an overall favourable prognosis as the majority of patients recover without sequalae and recurrence is rare.

Authors+Show Affiliations

Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.Intensive Care Department, Centro Hospitalar Entre Douro e Vouga, Santa Maria da Feira, Portugal.Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.Internal Medicine Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30755992

Citation

Zão, Inês, et al. "Mycoplasma Pneumoniae-associated Mucositis: a Recently Described Entity." European Journal of Case Reports in Internal Medicine, vol. 5, no. 11, 2018, p. 000977.
Zão I, Ribeiro F, Rocha V, et al. Mycoplasma pneumoniae-associated Mucositis: A Recently Described Entity. European journal of case reports in internal medicine. 2018;5(11):000977.
Zão, I., Ribeiro, F., Rocha, V., Neto, P., Matias, C., & Jesus, G. (2018). Mycoplasma pneumoniae-associated Mucositis: A Recently Described Entity. European Journal of Case Reports in Internal Medicine, 5(11), 000977. https://doi.org/10.12890/2018_000977
Zão I, et al. Mycoplasma Pneumoniae-associated Mucositis: a Recently Described Entity. European journal of case reports in internal medicine. 2018;5(11):000977. PubMed PMID: 30755992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mycoplasma pneumoniae-associated Mucositis: A Recently Described Entity. AU - Zão,Inês, AU - Ribeiro,Fani, AU - Rocha,Valter, AU - Neto,Pedro, AU - Matias,Carla, AU - Jesus,Gorete, Y1 - 2018/11/28/ PY - 2018/10/15/received PY - 2018/11/09/accepted PY - 2019/2/14/entrez PY - 2019/2/14/pubmed PY - 2019/2/14/medline KW - Mycoplasma pneumoniae KW - atypical pneumonia KW - conjunctival hyperaemia KW - mucositis SP - 000977 EP - 000977 JF - European journal of case reports in internal medicine VL - 5 IS - 11 N2 - : Mycoplasma pneumoniae (MP) is a common cause of respiratory infections and can be associated with extrapulmonary complications. MP mucositis has recently been described as a distinct endemic clinical entity called Mycoplasma pneumoniae-induced rash and mucositis (MIRM). The authors present the case of a 46-year-old man with atypical pneumonia associated with exuberant mucositis, conjunctival hyperaemia and positive serological assays for MP IgM. The patient was treated with azithromycin and systemic corticosteroid therapy. Supportive care including pain management, intravenous hydration and mucosal care was also given. There was complete resolution of the pneumonia and mucositis. The presence of atypical pneumonia with mucosal involvement without cutaneous lesions and a favourable clinical evolution led to the diagnosis of MIRM. LEARNING POINTS: Mycoplasma pneumoniae infection can be associated with mucocutaneous lesions. A new entity called Mycoplasma pneumoniae-induced rash and mucositis (MIRM) has been recently described. The mucocutaneous involvement associated with MIRM is predominantly mucositis with scarce or absent cutaneous expression.The clinical presentation, pathophysiology and disease outcomes of MIRM distinguish it from Stevens-Johnson syndrome/toxic epidermal necrolysis and erythema multiform.MIRM has an overall favourable prognosis as the majority of patients recover without sequalae and recurrence is rare. SN - 2284-2594 UR - https://www.unboundmedicine.com/medline/citation/30755992/Mycoplasma_pneumoniae_associated_Mucositis:_A_Recently_Described_Entity_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30755992/ DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.