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Severe erythema multiforma exudativum misdiagnosed as hand, foot and mouth disease: report of one case
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Clinical Infectious Diseases
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1674-2397.2015.06.013
- Key Word:
- 红斑,多形;手足口病;误诊;Erythema multiforme;Hand,foot and mouth Disease;Diagnostic error
Abstract： 患儿女,4岁10个月,3 d前出现发热,热峰超过40.0℃,偶有惊跳,在当地医院输液治疗,仍反复高热,热型不规则.5h前发现患儿双手可见皮疹,口腔可见疱疹和溃疡,以"手足口病"收治.患儿2周前曾因反复抽搐在神经内科诊断为"癫痫"并开始服用"卡马西平",近期有手足口病患儿接触史.人院体检:体温38.6℃,脉搏135次/min,呼吸25次/min.神志清楚,精神差,面色稍苍白,双手心可见散在红色斑丘疹,双眼可见少许分泌物,口腔黏膜可见少许疱疹,无柯氏斑,咽部充血,心肺听诊无异常,腹部软,肝脾肋缘下未触及,神经系统检查无阳性发现.实验室和器械检查:血常规WBC 7.39×109/L,中性粒细胞0.655,淋巴细胞0.226,单核细胞0.118,嗜酸粒细胞0.
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