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      Recurrent reactive infectious mucocutaneous eruption (RIME) in two adolescents triggered by several distinct pathogens including SARS‐CoV‐2 and influenza A

      case-report

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          Abstract

          Reactive infectious mucocutaneous eruption (RIME) was proposed as new terminology to encompass postinfectious mucocutaneous eruptions. The term includes all postinfectious mucocutaneous eruptions such as the widely reported Mycoplasma pneumoniae‐induced rash and mucositis (MIRM). Very few reports in the literature regarding recurrent RIME are found. We present two adolescent cases of recurrent RIME that involve SARS‐CoV‐2 and influenza A where the latter is a newly reported infectious trigger; in both patients, the initial episode was likely triggered by Mycoplasma pneumoniae (MP) infection.

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          Mycoplasma pneumoniae-induced rash and mucositis as a syndrome distinct from Stevens-Johnson syndrome and erythema multiforme: a systematic review.

          Theresa Canavan, Erin Mathes, Ilona Frieden … (2015)
          Mycoplasma pneumoniae infection is associated with extrapulmonary complications, including mucocutaneous eruptions. These eruptions, which have been termed either "Stevens-Johnson syndrome" or "erythema multiforme" in the literature, may differ from drug-induced Stevens-Johnson syndrome or viral-associated erythema multiforme.
          Article 0 comments Cited 67 times – based on 0 reviews     Review now
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            Frequency and Clinical Presentation of Mucocutaneous Disease Due to Mycoplasma pneumoniae Infection in Children With Community-Acquired Pneumonia

            Patrick M. Meyer Sauteur, Martin Theiler, Michael Buettcher … (2019)
            The diagnosis of Mycoplasma pneumoniae infection as the cause of mucocutaneous disease is challenging because current diagnostic tests are not able to differentiate M pneumoniae infection from carriage.
            Article 0 comments Cited 25 times – based on 0 reviews     Review now
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              Mucositis Secondary to Chlamydia pneumoniae Infection: Expanding the Mycoplasma pneumoniae-Induced Rash and Mucositis Concept.

              Raul de Lucas-Laguna, Alba Sánchez-Orta, Francisco Javier González-Sainz … (2017)
              The term Mycoplasma pneumoniae-induced rash and mucositis (MIRM) was recently proposed to identify the mucocutaneous condition secondary to M. pneumoniae infection that had historically been regarded among the more confusing pathologies of erythema multiforme and Stevens-Johnson syndrome. Based on a number of previous reports, these syndromes require differentiation since they have different prognoses and specific treatment requirements. We report a case of oral and genital erosions that strongly resembled MIRM without rash but were found to be secondary to a Chlamydia pneumoniae infection. After a thorough review of the literature on this subject, we propose that C. pneumoniae should also be considered a potential causative agent of MIRM and that this term should be amended to include C. pneumoniae infection.
              Article 0 comments Cited 15 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Amy Song:
                ORCID: https://orcid.org/0000-0002-8472-6698
                songx497@umn.edu
                Journal
                Journal ID (nlm-ta): Pediatr Dermatol
                Journal ID (iso-abbrev): Pediatr Dermatol
                Journal ID (doi): 10.1111/(ISSN)1525-1470
                Journal ID (publisher-id): PDE
                Title: Pediatric Dermatology
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0736-8046
                ISSN (Electronic): 1525-1470
                Publication date (Electronic): 13 September 2021
                Publication date (Print): Sep-Oct 2021
                Publication date PMC-release: 13 September 2021
                Volume: 38
                Issue: 5 ( doiID: 10.1111/pde.v38.5 )
                Pages: 1222-1225
                Affiliations
                [ 1 ] University of Minnesota Medical School Minneapolis MN USA
                [ 2 ] University of Minnesota Department of Dermatology Minneapolis MN USA
                Author notes
                [*] [* ] Correspondence

                Amy Song, University of Minnesota Medical School, 55455 Minneapolis, MN, USA.

                Email: songx497@ 123456umn.edu

                Author information
                https://orcid.org/0000-0002-8472-6698
                https://orcid.org/0000-0001-6144-093X
                https://orcid.org/0000-0002-0033-8285
                Article
                Publisher ID: PDE14780
                DOI: 10.1111/pde.14780
                PMC ID: 8646723
                PubMed ID: 34515364
                SO-VID: 377f262b-860c-4713-9a37-f4a303e6fcc4
                Copyright © © 2021 Wiley Periodicals LLC.
                License:

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                Page count
                Figures: 2, Tables: 1, Pages: 4, Words: 2118
                Categories
                Subject: Case Report
                Subject: Case Reports
                Custom metadata
                source-schema-version-number 2.0
                cover-date September/October 2021
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.9 mode:remove_FC converted:06.12.2021

                ScienceOpen disciplines: Dermatology
                Keywords: mucositis,mycoplasma infection,mycoplasma‐induced rash and mucositis,reactive infectious mucocutaneous eruption
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: mucositis, mycoplasma infection, mycoplasma‐induced rash and mucositis, reactive infectious mucocutaneous eruption

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