Othman Norlijah, Intan H I, Yip C W, Alias M, Amran F
Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia.
J Trop Pediatr. 2007 Feb;53(1):55-8. doi: 10.1093/tropej/fml085.
We report a case of an 8-year-old aborigine boy referred to our hospital for respiratory insufficiency with skin eruptions over the trunk and limbs. The skin condition was diagnosed as acquired ichthyosis. He also had a non-bleeding form of disseminated intravascular coagulopathy. Radiograph of the lungs showed bilateral perihilar opacities with bilateral pleural effusion. The diagnosis of leptospirosis was confirmed by a 4-fold rise in microagglutinating titre and polymerase chain reaction assay.
我们报告一例8岁原住民男孩，因呼吸功能不全伴躯干和四肢皮肤疹被转诊至我院。皮肤状况被诊断为获得性鱼鳞病。他还患有非出血型弥散性血管内凝血。肺部X光片显示双侧肺门周围有混浊影及双侧胸腔积液。显微凝集试验效价呈4倍升高及聚合酶链反应检测证实了钩端螺旋体病的诊断。
