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March 22, 2026American Journal of Case ReportsOpen Access

A Rare Case of Stevens-Johnson Syndrome in a Young Patient Presenting With Odynophagia Following Antibiotic Use

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Authors

JTJohn TomasiniJSJoanna SajdlowskaGCGregory Crisafulli

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Overview

A case report demonstrates atypical mycoplasma pneumoniae-associated Stevens-Johnson syndrome in a young male, suggesting early diagnosis is critical for outcomes.

Key Points

  • To report an atypical case of Stevens-Johnson syndrome associated with Mycoplasma pneumoniae in an adolescent with isolated mucosal involvement.
  • Case report of an 18-year-old male with odynophagia and oral ulcerations after antibiotic use.
  • Laboratory evaluation for inflammatory markers and serologic testing for Mycoplasma pneumoniae.
  • Initial management included antibiotic cessation, intravenous fluids, and corticosteroids.
  • Patient developed macular lesions and progressive mucosal sloughing during hospitalization.
  • Serologic tests confirmed elevated Mycoplasma pneumoniae IgM and IgG titers.
  • The patient showed gradual improvement and full recovery after 2 weeks of treatment with intravenous immunoglobulin and azithromycin.

Cite This Study

Tomasini et al. (2026) studied this question.

synapsesocial.com/papers/69bf86ecf665edcd009e9001https://doi.org/10.12659/ajcr.951823
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1SEVERE STEVENS-JOHNSON SYNDROME INDUCED BY ANTIBIOTIC THERAPY: A CASE REPORT2026
  2. 2Drug‐Induced Fuchs Syndrome With Isolated Oral Involvement: A Rare Case Report2026 · 1 citations
  3. 3Pustules in Stevens-Johnson Syndrome2026
  4. 4Stevens-Johnson Syndrome: Case Report and Literature Review2026
  5. 5Stevens-Johnson Syndrome Following A single Ampicillin Dose in an Elderly Patient: A Case Report2026