Rash misdiagnosed as acute care acute agranulocytosis one case.docVIP

 PAGE \* MERGEFORMAT 5 Rash misdiagnosed as acute care acute agranulocytosis one case OF: He Fang, Guo added text, CRITICAL, Wang Dongmei, to far more than, Lie [Keywords:] child care urgent measles, acute agranulocytosis 1 Case information Children female, 7 months, due to fever and diarrhea two days admission. Diagnosed in outpatient “baby diarrhea”, to the World Fu Su, Smecta, Chang Le Hong oral, disease-free remission. Admission examination: body temperature 38.0 ℃, the general situation can, without special sickly, body skin, mucous membranes without jaundice, rash, superficial lymph node enlargement. cardiopulmonary no exception. Abdomen soft, non-whole abdominal tenderness, rebound tenderness, liver and spleen ribs does not touch, shifting dullness negative, bowel sounds 6 to 8 times / min. physiological reflex exists, pathological reflex was not elicited. blood: WBC 6.5 × 109 / L, Hb 107g / L, N 0.292, L 0.708. stool routine : yellow mucous, WBC 5 ~ 7/HP, phagocytes 0 ~ 1/HP. diagnosis “infantile diarrhea disease”, to cefotaxime sodium antibiotics, rehydration and Smecta, Mommy loves oral. children with significant illness remission, no further fever after admission, stool frequency decreased significantly. But on the morning of admission after 3 children again high fever, no runny nose, sneezing, coughing, vomiting and discomfort, but generally good, no diarrhea, blood review: WBC 2.5 × 109 / L, Hb 108g / L, N 0.232, L 0.768. to consider children with “infantile diarrhea disease,” the basic healing, concurrency, “Nursery acute rash”, with the former treatment, symptomatic treatment for high fever. However, the families of children pediatric specialty hospital because I was no, then transferred to a local hospital pediatric, check blood: WBC 2.1 × 109 / L, Hb 110g / L, N 0.211, L 0.789. then diagnosed as “acute agranulocytosis,” to “cephalosporin piperazine ketone sulbactam, amoxicillin amlodipine “anti-infection. treatment 2 days later, p