Exantema mucocutáneo inducido por Mycoplasma pneumoniae: reporte de caso

Abstract

Whitin de mycoplasma species, Mycoplasma Pneumoniae is the most predominant and studied pathogen, it causes community-acquired bacterial pneumonia in children over 5 years of age and adolescents, it is easily transmitted through respiratory droplets (flugge) or through direct contact in densely populated environments.  Mycoplasma pneumoniae infection is usually self – limiting and mild, however it can cause extrapulmonary infections causing some unusual clinical symptoms when it affects the skin, kidneys, heart, nervous, musculo skeletal, gastrointestinal, and blood stream systems.

Mycoplasma pneumonia-induced mucocutaneus eruption (MIME) is a rare but increasingly described disease characterized by prominent scattered vesicular-bullous or target-shaped eruptions with prodromal symptoms occurring in the preceding 7 to 10 days, and clinical, radiographic or laboratory evidence of an infectious trigger.  Diagnosis is made by Polymerase Chain Reaction (PCR) from a throat swab, measurement of specific IgG, IgM, IgA titers in serum, and treatment includes targeted antimicrobial therapy and supportive measures in addition to evaluation and follow-up by Dermatology and Ophthalmology, especially if there is ocular involvement.

The correct identification of Mycoplasma pneumoniae in this case illustrates the importance of a through differential diagnosis and the use of evidence-based treatments