A 35-Year-Old Man With Fever, Cough, and Erythematous-Erosive Mucous Membrane Lesions Accompanied by a Generalized Cutaneous Rash

Nicoletta Golfi; Maria Lucia Valentini; Aldo Cuccia; Valerio Torre; Raffaele Scala

doi:10.1016/j.chest.2022.03.022

A 35-Year-Old Man With Fever, Cough, and Erythematous-Erosive Mucous Membrane Lesions Accompanied by a Generalized Cutaneous Rash

Chest. 2022 Sep;162(3):e139-e143. doi: 10.1016/j.chest.2022.03.022.

Authors

Nicoletta Golfi¹, Maria Lucia Valentini², Aldo Cuccia³, Valerio Torre⁴, Raffaele Scala⁵

Affiliations

¹ Pulmonology and Respiratory Intensive Care Unit, San Donato Hospital, Arezzo, Cardio-Toraco-Neuro-Vascular Department, Usl Toscana Sudest, Italy.
² Pulmonology and Respiratory Intensive Care Unit, San Donato Hospital, Arezzo, Cardio-Toraco-Neuro-Vascular Department, Usl Toscana Sudest, Italy; Pulmonology, Misericordia Hospital, Grosseto, Cardio-Toraco-Neuro-Vascular Department, Usl Toscana Sudest, Italy.
³ Dermatology, San Donato Hospital, Arezzo, Surgical Department, Usl Toscana Sudest, Italy.
⁴ Pathology, San Donato Hospital, Arezzo, Oncologic Department, Usl Toscana Sudest, Italy.
⁵ Pulmonology and Respiratory Intensive Care Unit, San Donato Hospital, Arezzo, Cardio-Toraco-Neuro-Vascular Department, Usl Toscana Sudest, Italy. Electronic address: raffaele.scala@uslsudest.toscana.it.

PMID: 36088100
DOI: 10.1016/j.chest.2022.03.022

Abstract

A 35-year-old man presented to the ED with a 7-day history of fever, asthenia, and cough. He had previously received a 3-day course of amoxicillin and clavulanic acid (1 g tid po) and then ceftriaxone (1 g IM once per day) prescribed by his general practitioner with no substantial benefit. He was an active smoker (11.2 pack/y), without known allergy-related syndromes and any important reports in his medical history.

Publication types

Case Reports

MeSH terms

Adult
Cough* / diagnosis
Cough* / etiology
Exanthema* / diagnosis
Exanthema* / etiology
Fever / etiology
Humans
Male
Mucous Membrane / pathology
Skin / pathology