{"title":"Purpura on the truncus and extremities","authors":"R. Tanizaki, Masaki Oya, Y. Takemura","doi":"10.1136/emermed-2016-205777","DOIUrl":null,"url":null,"abstract":"A 36-year-old woman with Down's syndrome and spleen hypoplasia presented with a fever of 40°C lasting for 12 h. She had taken 1 mg prednisolone/day for mild graft-versus-host disease after allogeneic stem cell transplantation 4 years previously. Her BP was 91/44 mm Hg, HR 110 beats/min and RR 30 breaths/min. Her heart sound, lung sound and skin appearance were unremarkable. Laboratory findings showed leucocytosis (13.12×109/L) and normal platelet count (269×109/L). She was discharged home, but 16 h after fever onset, experienced cardiopulmonary arrest.\n\nWhat does …","PeriodicalId":410922,"journal":{"name":"Emergency medicine journal : EMJ","volume":"6 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2016-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency medicine journal : EMJ","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/emermed-2016-205777","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 36-year-old woman with Down's syndrome and spleen hypoplasia presented with a fever of 40°C lasting for 12 h. She had taken 1 mg prednisolone/day for mild graft-versus-host disease after allogeneic stem cell transplantation 4 years previously. Her BP was 91/44 mm Hg, HR 110 beats/min and RR 30 breaths/min. Her heart sound, lung sound and skin appearance were unremarkable. Laboratory findings showed leucocytosis (13.12×109/L) and normal platelet count (269×109/L). She was discharged home, but 16 h after fever onset, experienced cardiopulmonary arrest.
What does …
36岁女性唐氏综合征伴脾发育不全,发热40℃,持续12小时。血压91/44 mm Hg,心率110次/分,心率30次/分。她的心音、肺音和皮肤外观无明显变化。实验室结果:白细胞增多(13.12×109/L),血小板计数正常(269×109/L)。她出院回家,但在发烧16小时后,经历了心肺骤停。什么是……