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VIGNETTES
Acute Generalized Exanthematous Pustulosis Associated With Asymptomatic Mycoplasma pneumoniae Infection
Christopher Seng-Hong Lim, MBBS;
Siew-Lin Lim, MBBS
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Acute generalized exanthematous pustulosis (AGEP) is most commonly associated with drug hypersensitivity.1 Infections are an uncommon cause, and most known infectious causes have been viral.2 We know of only a single case of AGEP associated with Chlamydia pneumoniae infection.3 Herein, we report a case of AGEP in an adult following asymptomatic Mycoplasma pneumoniae infection.
Report of a Case
A 31-year-old Chinese Singaporean woman presented with a 2-day history of a widespread, edematous, erythematous, maculopapular eruption with 1- to 2-mm nonfollicular pustules all over her body, especially on the axillae (Figure 1), inner thighs, and neck, where they were coalescent. The mucous membranes were spared.
Figure appears in full text version.
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Figure 1. Erythematous maculopapular eruption with nonfollicular pustules becoming confluent and forming superficial lakes of pus in the right axilla.
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Significant findings included a total white blood cell count of 14 000/µL with 85% neutrophils, and increased erythrocyte sedimentation rate (25 mm/h), . . . [Full Text of this Article]
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ABSTRACT
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