Abstract
Mycoplasma pneumoniae induced rash and mucositis (MIRM) is a distinct entity of erythema multiforma spectrum. Observation: we report a case of a 19-year-old man hospitalised for multiple mucosal eruptions and hyperthermia for three days, in context of a pro-T lymphoblastic leukemia in complete cytological and molecular remission. Discussion: MIRM is a skin split of 0% – 10% body surface area, at least two mucosal sites involved, few skins including vesiculobullous or atypical targets and evidence of atypical pneumonia. Identification of MP is essential for the correct diagnosis of MIRM and even more differentiation of EM associated with herpes simplex virus and drug-associated. Conclusion: MIRM has a good prognosis with rare recurrence and seldom complications.
Highlights
A 19-year-old man was hospitalised in the haematology department for multiple mucosal eruptions and hyperthermia at 39 °C for three days, in context of a pro-T lymphoblastic leukemia diagnosed in 2013
The diagnosis was a distinct entity of the erythema multiforma (EM): Mycoplasma pneumoniae Induced Rash and Mucositis (MIRM) sine rash
Mycoplasma pneumoniae induced rash and mucositis (MIRM) evolution is 81% perfect healing but ocular sequelae (8.9%), oral or genital (1.6%) involvement were reported by synechiae and post-inflammatory condition
Summary
A 19-year-old man was hospitalised in the haematology department for multiple mucosal eruptions and hyperthermia at 39 °C for three days, in context of a pro-T lymphoblastic leukemia diagnosed in 2013. The patient did not report any drug intake different of his usual treatments. Patient’s clinical symptoms were asthenia, hyperthermia, ECG was normal. Cough appeared for nine days with yellow sputum without dyspnea.
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