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1临床资料患者男,54岁。全身群集性水疱伴疼痛3d。3天前,无明显诱因左侧后腰部出现群集性水疱,伴疼痛,自行口服盐酸伐昔洛韦片1d,无效,次日左侧腹部、腹股沟及会阴部和右侧胸背部及右上肢伸侧出现类似皮疹,躯干及大腿处可见数个散在分布的红色丘疹、丘疱疹及水疱,疼痛明显。患者既往体质较差,2周前因休克、急性肾损伤、肺炎、酸碱平衡紊乱、电解质紊乱、尿路感染、低蛋白血症、继发性甲状腺功能减退症、念珠菌病及
1 Clinical data Patient male, 54 years old. Systemic cluster blisters with pain 3d. 3 days ago, no obvious incentive to the left lower back of the waist with cluster blisters, with pain, oral valacyclovir hydrochloride tablets 1d, invalid, the next day the left abdomen, groin and perineum and right chest and back and upper right extensor Similar rash appears on the side, the trunk and thigh can be seen in several scattered red papules, mound herpes and blisters, the pain was obvious. Patients with poor physical past, 2 weeks ago because of shock, acute kidney injury, pneumonia, acid-base balance disorders, electrolyte disorders, urinary tract infections, hypoproteinemia, secondary hypothyroidism, candidiasis and