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患男,52d,以发热、皮疹3d代诉入院。3d前无明显原因出现发热、咳嗽,当地个体医生按感冒治疗并应用地塞米松2mg后,全身出现大量皮疹。患儿母亲无水痘或带状疱疹病史,病前亦无此类患者接触史。查体:T39.3℃,R27次/min,P139次/min,体重2.4kg。神志清,精神差。全身皮肤遍布大量斑疹、丘疹、疱疹、脓疱疹,部分融合破溃,腹部可见部分瘀点、瘀斑。皮疹以面部,躯干部较集中,四肢远端较少。口唇紫绀,口腔粘膜及咽部亦可见疱疹。双肺呼吸音粗,有干湿罗
Male suffering, 52d, fever, rash 3d behalf of admission. There were no obvious causes of fever and cough before 3d. After the local individual doctors treated with cold and applied dexamethasone 2mg, there was a large number of rashes throughout the body. Children with no history of chickenpox or herpes zoster, no such patients before the disease history of exposure. Physical examination: T39.3 ℃, R27 times / min, P139 times / min, weight 2.4kg. Conscious, poor spirit. Whole body skin over a large number of rash, papules, herpes, impetigo, part of the fusion ulceration, part of the abdomen visible petechia, ecchymosis. Rash to the face, trunk more concentrated, less distal limbs. Lips cyanosis, oral mucosa and pharynx also showed herpes. Breath sounds coarse lungs, wet and dry Luo