Mycoplasma pneumoniae–Associated Mucositis- ...severe mucositis developed that involved the lips, buccal mucosa (Panel A), conjunctivae, and urethral meatus...Testing for Mycoplasma pneumoniae by PCR of the nasopharyngeal aspirate and for serum IgM antibody was positive. Mycoplasma is commonly associated with exanthems. In this case, the clinical presentation was consistent with Mycoplasma pneumoniae–induced erythema multiforme, also referred to as mycoplasma-induced rash and mucositis. Given the severity of the mucosal involvement, a nasogastric tube was placed for nutrition and for administration of medications. After approximately 2 weeks of treatment with doxycycline, the patient had complete resolution of his respiratory illness and mucositis (Panel B). #clinical #photo #NEJM #mycoplasma #pneumoniae #mucositis #erythema #multiforme
