Infect Chemother. 2008 Nov-Dec;40(6):327-329. Korean.
Published online Dec 31, 2008.
Copyright © 2008 The Korean Society of Infectious Diseases and The Korean Society for Chemotherapy
Case Report

A Case of Stevens-Johnson Syndrome Associated with Mycoplasma pneumoniae Pneumonia in an Adult Patient

Jung Hyun Lee, M.D.,1 Young Sil Eom, M.D.,1 Woo Jin Han, M.D.,1 Kyu Hyun Yoon, M.D.,1 Seo Young Lee, M.D.,1 Jong Goo Seo, M.D.,1 Jin Yong Kim, M.D.,1 Sue-Yun Kim, M.D.,1 Yoon Soo Park, M.D.,1 Yiel-Hae Seo, M.D.,2 and Yong Kyun Cho, M.D.1
    • 1Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Korea.
    • 2Department of Laboratory Medicine, Gachon University, Gil Medical Center, Incheon, Korea.
Received June 09, 2008; Accepted September 30, 2008.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Stevens-Johnson syndrome is an acute mucocutaneous syndrome that is related to drugs and infections. Mycoplasma pneumoniae infection is known as one of the causes of Stevens-Johnson syndrome in children and young adults. In Korea, Mycoplasma pneumoniae infection is rarely reported as a cause of Stevens-Johnson syndrome in adults. We report a case of Stevens-Johnson syndrome associated with Mycoplasma pneumoniae pneumonia in an adult patient. A 34-years old woman was admitted to our hospital and was diagnosed with mycoplasma pneumonia. At the time of admission, she had hemorrhagic crusts on her lips. On the 2nd day of admission, target lesions also developed on her skin. We diagnosed her disease as Stevens-Johnson syndrome associated with Mycoplasma pneumoniae pneumonia. She completely recovered from pneumonia and Stevens-Johnson syndrome after treatment with antibiotics and conservative management.

Keywords
Stevens-Johnson syndrome; Mycoplasma pneumoniae

Figures

Figure 1
Picture A shows hemorrhagic crust on the lips. Picture B shows target lesions on both soles. Picture C shows target lesions on both knees.

Figure 2
High-resolution computed tomography showing patchy consolidation in right lower lobe.

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