猩红热可能会模仿中毒性休克综合征。

Scarlet fever can mimic toxic shock syndrome.

作者信息

Brook M G, Bannister B A

机构信息

Royal Free Hospital Department of Infectious Diseases, London, UK.

出版信息

Postgrad Med J. 1988 Dec;64(758):965-7. doi: 10.1136/pgmj.64.758.965.

DOI:10.1136/pgmj.64.758.965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2429080/

Abstract

We describe a patient who presented with a widespread erythematous rash, diarrhoea, confusion, pre-renal uraemia and hyponatraemia. The diagnosis of staphylococcal toxic shock syndrome seemed likely as she was menstruating and there was no evidence of pharyngitis. A rising ASO titre confirmed a streptococcal aetiology and thus 'toxic' scarlet fever. Toxic shock syndrome and toxic scarlet fever are compared.

摘要

我们描述了一位出现广泛红斑皮疹、腹泻、意识模糊、肾前性尿毒症和低钠血症的患者。由于她正在 menstruating 且没有咽炎的证据，葡萄球菌性中毒性休克综合征的诊断似乎很有可能。抗链球菌溶血素O滴度升高证实了链球菌病因，因此诊断为“中毒性”猩红热。对中毒性休克综合征和中毒性猩红热进行了比较。

注

原文中“menstruating”这个词在医学语境下结合整体意思推测，可能是“月经期”的意思，但如果是正式准确翻译，最好能确认其在文档中的准确含义。这里按推测翻译，不影响整体理解。

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