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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum sickness, a systemic...

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Reactive Infectious Mucocutaneous Eruption (RIME): An Australian Case Series.

Hamish Moore1,2, Emma Ryan1,3, Annabel Stevenson1,2,4

  • 1Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.

The Australasian Journal of Dermatology
|February 16, 2026
PubMed
Summary

Reactive Infectious Mucocutaneous Eruption (RIME) causes significant illness and prolonged hospital stays in children. Early specialist diagnosis and awareness during Mycoplasma pneumoniae outbreaks are crucial for better outcomes.

Keywords:
Mycosplasma pneumoniaeMIRMRIMEetanerceptmucocutaneous eruptionreactive infectious mucocutaneous eruption

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Area of Science:

  • Pediatric Dermatology
  • Infectious Diseases
  • Epidemiology

Background:

  • Reactive Infectious Mucocutaneous Eruption (RIME) is a severe mucocutaneous condition.
  • RIME leads to substantial morbidity and healthcare resource utilization, including extended hospitalizations.

Purpose of the Study:

  • To analyze trends in etiology, diagnosis, management, and outcomes of pediatric RIME.
  • To emphasize the importance of early specialist intervention and awareness of triggers like Mycoplasma pneumoniae.

Main Methods:

  • Retrospective review of pediatric RIME cases in South Australia.
  • Data collection spanned from 2023 to 2024.

Main Results:

  • Identified key trends in RIME presentation and management.
  • Highlighted the association between RIME and Mycoplasma pneumoniae infections.

Conclusions:

  • Early pediatric dermatology consultation is vital for optimal RIME management.
  • Vigilance for RIME is necessary during Mycoplasma pneumoniae outbreaks.