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Case Reports
. 2014 Mar 13:2014:bcr2014203795.
doi: 10.1136/bcr-2014-203795.

Mycoplasma pneumonia-associated mucositis

Cyril Varghese  1 , Korosh Sharain, Joseph Skalski, Kannan Ramar
Affiliations
Case Reports

Mycoplasma pneumonia-associated mucositis

Cyril Varghese et al. BMJ Case Rep. .

Abstract

We present a case of a young man with severe mucositis following an upper respiratory tract infection limited to the ophthalmic and oral mucosa while sparing the rest of the skin, genitalia and perianal regions. Investigations revealed that the mucositis was a rare extrapulmonary manifestation of Mycoplasma pneumoniae infection. He had progressive vision-threatening symptoms despite antibiotics and best supportive care and thus was treated with intravenous corticosteroids, immunoglobulins, temporary ocular amniotic membrane grafts and tarsorrhaphy. The patient made an almost complete recovery over 6 weeks.

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Figures

Figure 1
Figure 1
Initial presentation showing severe signs of conjunctivitis.
Figure 2
Figure 2
Initial presentation with lip swelling, oral sores, copious oral secretions and odynophagia.
Figure 3
Figure 3
Day 16 since onset of symptoms. The figure showing bilateral injected conjunctiva with significant corneal abrasions. An eye examination demonstrated symblepharon.
Figure 4
Figure 4
Day 16 since onset of symptoms. The figure illustrates swelling, erythema and sloughing of the patient's lips with superficial ulcerations of the buccal mucosa.
Figure 5
Figure 5
Day 27 since onset of symptoms. Almost complete resolution of eye symptoms except for mild burning of the patient's right eye.
Figure 6
Figure 6
Day 27 since onset of symptoms. Complete resolution of mucositis and oral ulcerations.
See this image and copyright information in PMC

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