Vesicular rash in a 5-year-old boy with dyspnoea
Magdalena Okarska-Napierała1, Aleksandra Tylewicz2, Wioletta Guzik2, Ernest Kuchar1
Affiliation and address for correspondence
Pediatr Med Rodz 2019, 15 (4), p. 407–411
DOI:
10.15557/PiMR.2019.0070
Abstract
Mucocutaneous complications, including erythema multiforme, Stevens–Johnson syndrome or toxic epidermal necrolysis, may develop in up to one third of patients infected with Mycoplasma pneumoniae. This paper reports the case of a 5-year-old boy presenting with atypically severe pneumonia caused by M. pneumoniae. Cutaneous and mucosal manifestations associated with the condition were helpful in the establishment of correct diagnosis. Target (bull’s-eye) lesions with possible bullae formation, as well as prominent mucosal lesions in a child accompanying features of respiratory tract infection should raise the suspicion of atypical infection.
Keywords
community-acquired pneumonia (CAP), respiratory tract infections, atypical respiratory pathogen, vasculitis, mucositis, diagnosis
