Wagle Laxman, Basnyat Parmartha, Timshina Anuj, Regmi Rashmita, Ban Rushika
Internal Medicine, Ascension Saint Agnes Hospital, Baltimore, USA.
Internal Medicine, Patan Academy of Health Science, Kathmandu, NPL.
Cureus. 2024 May 19;16(5):e60603. doi: 10.7759/cureus.60603. eCollection 2024 May.
Mycoplasma pneumoniae commonly causes respiratory tract infections but can also involve the skin and mucosal surfaces. Reactive infectious mucocutaneous eruption (RIME) secondary to mycoplasma infection is uncommon in adults but is an important clinical entity. We present the case of a 26-year-old male who experienced recurrent episodes of erythematous and painful oral ulcers without any prodromal or respiratory symptoms. Serological testing confirmed a recent mycoplasma infection. The patient was successfully treated with oral steroids and supportive therapy. This case underscores the challenges of diagnosing RIME, particularly in the absence of typical respiratory symptoms. Moreover, oral steroid therapy with supportive treatment may suffice to manage RIME if the patient lacks an ongoing infection or other underlying pathologies.
肺炎支原体通常引起呼吸道感染，但也可累及皮肤和黏膜表面。支原体感染继发的反应性感染性黏膜皮肤疹（RIME）在成人中并不常见，但却是一种重要的临床病症。我们报告一例26岁男性病例，该患者反复出现红斑性疼痛性口腔溃疡，无任何前驱症状或呼吸道症状。血清学检测证实近期有支原体感染。该患者接受口服类固醇和支持性治疗后成功治愈。该病例强调了诊断RIME的挑战，尤其是在没有典型呼吸道症状的情况下。此外，如果患者没有持续感染或其他潜在疾病，口服类固醇治疗加支持性治疗可能足以治疗RIME。
