A 17-year-old teenage boy presents with scattered skin lesions, oral erosions, eye pain, and 4 days’ history of a cough. He has had subjective fevers and malaise over the past week.
He denies taking any regular or occasional medications Initial evaluation The patient has fever, mild tachycardia, slight hypotension, with increased breathing rate and a slightly reduced oxygen saturation Exam reveals scattered target lesions (approximately 5% body surface area) on the trunk, arms, legs; there are extensive superficial erosions on the lips and buccal mucosa with hemorrhagic crusting; he has marked conjunctival erythema and chemosis Respiratory exam reveals reduced breath sounds throughout; a chest X-ray reveals diffuse pulmonary infiltrates and cold agglutinins done at the clinic bedside are positive A diagnosis of mycoplasma-associated SJS is rendered The patient is admitted to the…
