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Prepared by...
Virat Sirisanthana, M.D. |
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Department of Pediatrics, Chiang Mai
University
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Is it another case of Chromobacterium violacium
sepsis (case 1)?
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CC :fever for 5 days, skin lesions for 3 days
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| PI : 5 days prior to admission
she developed high fever. 3 days prior to admission she developed skin lesion. 1 day prior to admission she developed dyspnea and progression of skin lesions. |
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| Positive PE : temp = 39.5 O
C, P = 120/min, RR 60/min, BP 80/50 mmHg. Consciousness: drowsy. Lungs : crepitation both sides. Skin lesions : as shown |
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Figure 1: Distribution of skin lesion |
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Figure 2 : Closed up lesions at right knee |
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Figure 3 : hand |
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Figure 4 : leg |
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| What would you do next ? | |
| Click HERE for the investigations. | |
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