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Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess

Korean Journal of Pediatrics 2009;52(2):247-250.
Published online February 15, 2009.
Atypical presentation of Kawasaki disease resembling a retropharyngeal abscess
Sun-Hee Choi, Yu-Min Lee, Yeong-Ho Rha
Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
마이코플라즈마 감염에 의한 피부 병변을 동반하지 않은 Stevens-Johnson 증후군 1예
최선희, 이유민, 나영호
경희대학교 의과대학 소아과학교실
Yeong-Ho Rha, Email: yhrha@khu.ac.kr
Stevens-Johnson syndrome (SJS) presents with widespread blisters, erythematous or purpuric macules, and one or more mucous membrane erosions. Various etiologic factors, including infection, vaccination, drug administration, systemic diseases, physical agents, and food have been implicated as causes of SJS. Mycoplasma pneumoniae is the most common infectious agent to cause SJS in children. In recent literature, M. pneumoniae-induced SJS with mucositis that lacks the typical target lesions has been described. We report a case of a 6-year-old boy with swelling, peeling of the lips, and red eyes with photosensitivity. On physical examination, he showed severe oral mucositis and conjunctivitis with no evidence of skin lesions. Mycoplasma antibody, which was positive with titers of more than 1:2,560. For patients presenting with fever and mucositis of unknown origin, M. pneumoniae should be considered.
Key Words: Mycoplasma pneumoniae, Stevens-Johnson syndrome

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