Posters

Ophthalmic involvement in mycoplasma-induced rash and mucositis: a case report

Poster Details

First Author: S.Khochtali TUNISIA

Co Author(s):    S. Zina   S. Meddeb   I. Ksiaa   M. Khalifa   N. Abroug   M. Khairallah     

Abstract Details

Purpose:

To report ophthalmic findings in a child with Mycoplasma-induced rash and mucositis.

Setting:

Department of Ophtalmology, Fattouma Bouguiba University Hopital, Monastir, Tunisia.

Methods:

A case report

Results:

A previously healthy 7-year-old boy, was admitted to the pediatric unit with fever and upper respiratory infection. Three days later, he developed diffuse cutaneous targetoid rash, mucositis, and bilateral eye redness with photophobia. Ophthalmic examination revealed hyperemia and ulcerations along four eyelid margins, bilateral conjunctival injection and patchy epithelial defect, and no corneal involvement. Work-up showed elevated Mycoplasma Immunoglobulin M and G. The patient received systemic erythromycin and steroids for 14 days. He was prescribed topical dexamethasone (four times a day for 7 days, then slow taper), and topical fluoroquinolone (four times a day for 10 days). Ophthalmic lesions progressively improved. Two months after initial presentation, best-corrected visual acuity was 20/20 in both eyes. There was no symblepharon, subconjunctival fibrosis, or corneal scarring.

Conclusions:

Mycoplasma‐induced rash with mucositis is a recently described diagnosis on the spectrum of Stevens–Johnson syndrome / toxic epidermal necrolysis. It is characterized by a milder disease course and a better prognosis. Ophthalmic manifestations mainly involve eyelids’ margins and conjunctiva, and are associated with good visual outcomes.

Financial Disclosure:

None