因肺炎球菌性鼻窦炎导致的脾功能低下患者出现暴发性紫癜。
Purpura fulminans in a hyposplenic patient arising from pneumococcal sinusitis.
机构信息
Department of Anaesthesia, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UK
Department of General Medicine, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UK.
出版信息
BMJ Case Rep. 2023 Jul 17;16(7):e253043. doi: 10.1136/bcr-2022-253043.
Abstract
We report a previously healthy woman in her 50s who presented with sepsis, rapidly progressive purpuric rash and disseminated intravascular coagulation. She was diagnosed with acute infective purpura fulminans due to invasive pneumococcal infection likely secondary to sinusitis. Our case report discusses our initial diagnostic uncertainty and approach in investigating and treating such a critically unwell patient.
摘要
我们报告了一例 50 多岁的既往健康女性，她因脓毒症、迅速进展的紫癜性皮疹和弥散性血管内凝血而就诊。她被诊断为侵袭性肺炎球菌感染引起的急性感染性暴发性紫癜，可能继发于鼻窦炎。我们的病例报告讨论了我们在诊断和治疗如此病危患者时的初始诊断不确定性和方法。
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Purpura fulminans due to bacteraemia in an unsplectomised immunocompetent adult without primary hypocomplementaemia.免疫功能正常的成人未经脾切除术发生菌血症导致暴发性紫癜，且无原发性低补体血症。
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