[1]任发亮,任巧丽,谭琦,等.儿童传染性单核细胞增多症误诊为麻疹样红斑型药疹1例[J].中国皮肤性病学杂志,2016,(04):424-425.[doi:10.13735/j.cjdv.1001-7089.201508084]
 REN Fa liang,REN Qiao li,TAN Qi,et al.Infectious Mononucleosis Misdiagnosed as Erythema Morbilliforme Drug Eruptions in A Child[J].The Chinese Journal of Dermatovenereology,2016,(04):424-425.[doi:10.13735/j.cjdv.1001-7089.201508084]
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儿童传染性单核细胞增多症误诊为麻疹样红斑型药疹1例
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2016年04期
页码:
424-425
栏目:
误诊教训
出版日期:
2016-04-01

文章信息/Info

Title:
Infectious Mononucleosis Misdiagnosed as Erythema Morbilliforme Drug Eruptions in A Child
作者:
任发亮1任巧丽2谭琦1谭春花1王化疾1漆小飞1翟志芳3王华1
1重庆医科大学附属儿童医院皮肤科,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆 400014;2重庆医科大学附属儿童医院感染科,重庆 400014;3第三军医大学西南医院皮肤科,重庆 400038
Author(s):
REN Faliang1 REN Qiaoli2 TAN Qi1TAN Chunhua1 WANG Huaji1 QI Xiaofei1ZHAI Zhifang3 WANG Hua1
1.Department of Dermatology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China;2. Department of Infectious Disease, Children's Hospital of Chongqing Medical University, Chongqing 400014,China;3. Department of Dermatology, Southwest Hospital, the Third Military Medical University, Chongqing 400038,China.
关键词:
误诊儿童传染性单核细胞增多症
Keywords:
Misdiagnosis Children Infectious mononucleosis
分类号:
R 512.7
DOI:
10.13735/j.cjdv.1001-7089.201508084
文献标志码:
B
摘要:
患儿男,3岁10个月。发热4d,全身皮疹2d。呈中高热,皮肤无瘙痒。外院以麻疹样红斑型药疹治疗效果欠佳。查体:T392℃,急性病面容,颈部触及多个淋巴结,扁桃体Ⅱ~Ⅲ°,肝脏肋下3cm,脾脏肋下2cm。皮肤科情况:全身泛发的大小不一红斑。血WBC 188×109/L,变异淋巴细胞百分比16%。血液EBVPCR 36×105copy /mL。诊断:传染性单核细胞增多症。
Abstract:
A boy of three years and ten months old presented with moderate-severe fever for 4 d, companied with generalized erythema for 2 d. He was diagnosed as drug eruptions and treated with methylprednisolone, but no improvement in fever and skin rash. Physical examinations found high fever, stress facies, deradenoncus, and hepatosplenomegaly. Generalized pinkish erythema were obvious. Blood routine test suggested significant elevation of WBC and notable increase of abnormal lymphocytes. EBV-IgG and IgM antibody in peripheral blood was examined. High replication of EBV genes was obtained. The diagnosis of infectious mononucleosis was established.

参考文献/References:

[1] 万春雷,孙传寿.药物超敏综合征误诊传染性单核细胞增多症1例[J].中国皮肤性病学杂志,2007,21(5):319.
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[4] 郭霞,李强,周晨燕,等.儿童传染性单核细胞增多症并发EB病毒相关性噬血细胞综合征临床危险因素分析[J].中华儿科杂志,2008,46(1):69-73.

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更新日期/Last Update: 2016-04-20