{"title":"躯干和四肢有紫癜","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":"{\"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}","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
摘要
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……
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.
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