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类丹毒(Erysipeloid)临床上较少见,我们遇到1例,现报道如下。 一、病历摘要 患者男,35岁,住院号143302,屠宰个体户,1989年12月14日入院。患者于入院前5天屠宰病死猪(死因不详,但当地有猪丹毒流行)2头,手、足均被污染,无防护。当晚即突然寒战、高热,体温达39.5℃,服“安乃近”2片热退,次日上午又开始发热,并发现面部红斑,很快于躯干及四肢也发现斑片状红斑。不痒。于第3病日开始四肢远端明显肿胀、剧痛,皮肤呈暗红色,并逐渐向近端蔓延。面部红斑渐变成黑
Erysipeloid clinical less common, we encountered a case, are reported below. First, the medical record Summary Male patient, 35 years old, hospital number 143302, slaughtered self-employed, December 14, 1989 admission. Patients died 5 days before admission dead pigs (cause of death is unknown, but there is a popular swine erysipelas) 2, hands, feet were contaminated, no protection. That night suddenly chills, high fever, body temperature of 39.5 ℃, serving “Apocalypse” 2 heat back, the next morning fever began, and found facial erythema, and soon found in the trunk and limbs patchy erythema. It does not itch. On the 3rd day, the distal limbs were obviously swollen and severely painful. The skin was dark red and gradually spread to the proximal end. Facial erythema gradient into black