A severe case of reactive infectious mucocutaneous eruption associated with two possible triggers: Coronavirus and group A streptococcus

Abstract Reactive infectious mucocutaneous eruption (RIME) is a newly defined condition characterized by mucocutaneous blistering secondary to upper respiratory infections and encompasses Mycoplasma pneumoniae ‐induced rash and mucositis, broadening the disease spectrum to include various infectious...

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Bibliographic Details
Published inPediatric dermatology
Main Authors Rodriguez, Ivan, Kwong, Andrew T., Luu, Minnelly, Worswick, Scott D.
Format Journal Article
LanguageEnglish
Published 09.09.2024
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Summary:Abstract Reactive infectious mucocutaneous eruption (RIME) is a newly defined condition characterized by mucocutaneous blistering secondary to upper respiratory infections and encompasses Mycoplasma pneumoniae ‐induced rash and mucositis, broadening the disease spectrum to include various infectious etiologies. We present a severe RIME case involving a 5‐year‐old female with concurrent coronavirus NL63 and group A streptococcus infections. Diagnosis complexity stemmed from overlapping clinical features with other severe mucocutaneous eruptions such as Stevens‐Johnson syndrome/toxic epidermal necrolysis/drug‐induced necrolysis. This case underscores the need for comprehensive infectious workup and emphasizes the clinical diagnostic spectrum of drug‐induced and infection‐induced desquamative skin and mucosal disease.
Bibliography:ObjectType-Case Study-2
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ISSN:0736-8046
1525-1470
1525-1470
DOI:10.1111/pde.15744