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Severe Mucositis in the Setting of Mycoplasma pneumoniae and Streptococcal Coinfection by Delice Kayishunge; Mavinder Guram; Megan S. Evans is a Medicine article available to read on EtoBox.

What is Severe Mucositis in the Setting of Mycoplasma pneumoniae and Streptococcal Coinfection about?

A 13-year-old girl presents to the emergency department (ED) with painful oral ulcerations resulting in difficulty talking, eating, and drinking. She reports fever, cough, red eyes, congestion, and reduced oral intake beginning 9 days ago, with other household members also experiencing similar symptoms. Five days ago, she was started on azithromycin and erythromycin eye drops for suspected sinusitis and conjunctivitis by her primary care physician. Two days ago, at the recommendation of the infectious disease service, she was started on clindamycin for streptococcal pharyngitis based on sore throat, tonsillar erythema, oropharyngeal exudate, and elevated antistreptolysin O antibody to 634 IU/mL (<250 IU/mL is negative). Review of systems is negative for abdominal pain, nausea, vomiting, myalgia, dysuria, or genital ulcerations. Her medical history is notable for ulcerative colitis, atopic dermatitis, and presumed Stevens-Johnson syndrome (SJS) to amoxicillin at age 7 years. This previous SJS diagnosis was made after presenting to the ED with a sore throat, cough, fever, oral mucositis, ocular injection, and exposure to a sibling with pneumonia. Relevant evaluations at that time inc

Who reads Severe Mucositis in the Setting of Mycoplasma pneumoniae and Streptococcal Coinfection?

Author

Delice Kayishunge; Mavinder Guram; Megan S. Evans

Publisher

American Academy of Pediatrics (AAP)

Published

2024

Language

EN

Field

Medicine (Health Sciences)