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病案讨论本例临床特点:(1)起病急骤,突然发冷、发热,伴皮肤潮红、荨麻疹样皮疹和广泛性皮肤出血点。(2)严重意识障碍,由嗜睡、烦躁很快转入昏迷.(3)血液白细胞9800～18000,中性73%～95%.诊断与鉴别诊断:就以上特点可考虑如下疾病:猩红热患者于发热第2天皮肤潮红,瘙痒,血液白细胞总数增高,可考虑乙型溶血性链球菌引起的猩红热。但据文献报道及临床观察,近年来猩红热多呈良性经过,中毒症状轻,高热较少,更少引起死亡.本例病势凶险,体温高达40℃以上,且
Case discussion The clinical features of this case: (1) sudden onset, sudden cold, fever, flushing with the skin, urticaria-like rash and extensive skin bleeding point. (2) serious disturbance of consciousness, from drowsiness, irritability quickly into a coma. (3) white blood cells 9800 ~ 18000, 73% to 95% neutral. Diagnosis and differential diagnosis: The above characteristics may consider the following diseases: scarlet fever in patients with Fever 2 days the skin flushing, itching, increased total number of white blood cells can be considered B hemolytic streptococcus caused by scarlet fever. However, according to the literature and clinical observation, in recent years, the scarlet fever mostly passes benignly, the symptom of poisoning is light, the fever is less and less causes the death .In this case, the disease is dangerous and the body temperature is as high as above 40 ° C