Purpura on the truncus and extremities

R. Tanizaki, Masaki Oya, Y. Takemura
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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 …
躯干和四肢有紫癜
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……
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