Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Oral and Maxillofacial Surgery and Oral Pathology, VU University Medical Center/Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
Chest. 2022 Aug;162(2):e89-e92. doi: 10.1016/j.chest.2022.03.001.
An 18-year-old patient with a history of COVID-19 (1 month previously) was admitted with malaise and complaints of a stiff neck, a left-sided cervical mass, headache, and difficulty in swallowing and breathing, which had been present for 4 days. Two days after the onset of the first symptoms, a painless skin rash on the legs, arms, palms of both hands, and soles of both feet developed. Despite 2 days of treatment with antibiotics (amoxicillin/clavulanic acid, 500/125 mg three times daily orally), symptoms progressed. On presentation, the patient was alert and oriented, there were no neurologic disorders, and all symptoms related to the recent COVID-19 infection had subsided. His medical history was negative for sexually transmitted diseases, and the patient had received all vaccines except for meningococcus and COVID-19.
一位 18 岁的患者，有 COVID-19 病史（1 个月前），因不适和颈部僵硬、左侧颈部肿块、头痛以及吞咽和呼吸困难而入院，这些症状已经持续了 4 天。在出现第一个症状的两天后，双腿、手臂、双手手掌和双脚脚底出现无痛性皮疹。尽管在发病的两天后接受了抗生素治疗（阿莫西林/克拉维酸，500/125mg，每日口服 3 次），症状仍在加重。就诊时，患者神志清醒，定向力正常，无神经系统障碍，且与近期 COVID-19 感染相关的所有症状均已消退。他的病史无性病，除脑膜炎球菌和 COVID-19 疫苗外，患者已接种所有疫苗。
