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肺炎支原体诱发儿童复发性史蒂文斯-约翰逊综合征:一例报告

Mycoplasma pneumoniae-induced recurrent Stevens-Johnson syndrome in children: a case report.

作者信息

Campagna Cinzia, Tassinari Davide, Neri Iria, Bernardi Filippo

机构信息

Department of Pediatrics, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

出版信息

Pediatr Dermatol. 2013 Sep-Oct;30(5):624-6. doi: 10.1111/pde.12177.

Abstract

Mycoplasma pneumoniae, the major pathogen of primary atypical pneumonia, is reported as the most common infectious agent associated with Stevens-Johnson syndrome (SJS) in children. For that reason it is important to consider mycoplasma infection also in the absence of classical pulmonary symptoms. SJS is a rare and acute, self-limited disease, characterized by severe inflammation and necrosis of two or more mucous membranes. We report the case of a 12-year-old boy with a diagnosis of SJS induced by M. pneumoniae infection. The patient's SJS relapsed 8 months after discharge. When the condition is recurrent, it is important early on to identify the cause of a single episode to optimize care and therapeutic choices.

摘要

肺炎支原体是原发性非典型肺炎的主要病原体,据报道它是儿童史蒂文斯-约翰逊综合征(SJS)最常见的相关感染因子。因此,即使没有典型的肺部症状,也有必要考虑支原体感染。SJS是一种罕见的急性自限性疾病,其特征是两个或更多黏膜发生严重炎症和坏死。我们报告一例12岁男孩因肺炎支原体感染诱发SJS的病例。该患者出院8个月后SJS复发。当病情复发时,尽早确定单次发作的病因对于优化护理和治疗选择很重要。

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