Vesicular rash in a 5-year-old boy with dyspnoea
1 Department of Paediatrics with Clinical Assessment Unit, Faculty of Medicine II, Medical University of Warsaw, Warsaw, Poland
2 Students’ Research Association “Febris” at the Department of Paediatrics with Clinical Assessment Unit, Faculty of Medicine II, Medical University of Warsaw, Warsaw, Poland
Correspondence: Magdalena Okarska-Napierała, Department of Paediatrics with Clinical Assessment Unit, Żwirki i Wigury 63A, 02-092 Warsaw, Poland, tel.: +48 22 317 90 33, e-mail: magda.okarska@gmail.com
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