Shuanghuanglian induced acute pan-exanthematous pustulosis in 1 case report.docVIP

Shuanghuanglian induced acute pan-exanthematous pustulosis in 1 case report [Keywords:] Shuanghuanglian impetigo Acute generalized exanthematous pustulosis (AGEP) is a rare aseptic impetigo, cause is not yet clear. I was treated in 1 case, are as follows. About 1 case Patients, male, 20 years old. For body skin rash, small pustules, itching, accompanied by fever 2 days at December 12, 2007 in my hospital. Patients 3 days before admission, due to upper respiratory tract infection, treatment in hospital clinics , to Shuanghuanglian intravenous treatment. The next day the abdomen, back, inner thighs, skin two-wave diffuse erythema, itching, accompanied by fever (T 38.8 ), were not seriously, to continue the program of treatment, lesions gradually spread to the body, on which scattered or dense yellow pustules the size of the tip to the miliary to the trunk, two thigh staggering, with persistent high fever (T 39.2 ), then the emergency stay at our department, the patient usually physical health, denied food and drug allergy, no such family history. admission physical examination: T 39 , P 102 times / min, respiration, blood pressure normal, submandibular, ears, neck, and a number of pieces of peanuts can be the size of palpable lymph nodes, activities can be, no tenderness, heart, lung, abdominal examination were normal. dermatology: The general indemnity chronic skin flushing, stomach, back, inner thighs, visible double-scattered intensity or the size of the tip to the miliary yellowish pustules, abdominal, thigh pus pustules paste integration into small pieces. laboratory examination, blood: WBC 27.6 109 / L, N 0.9, ESR: 26mm / h, liver and kidney function, blood electrolytes examination without exception, pus bacterial culture negative. admission diagnosis: AGEP. Shuanghuanglian disabled after admission, dexamethasone 15mg, azithromycin 0.5g, ranitidine 0.15g, intravenous infusion, topical solution 0.1% Leifonuer wet packing pustules, are each 3 times, e