A 56-Year-Old Woman with Fever, Rash, and Lymphadenopathy  

Oleh:

Abramson, Jeremy S. ; Digumarthy, Subba ; Ferry, Judith A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 361 no. 09 (Aug. 2009), page 900-911 .
Topik: Fever; Rash; Lymphadenopathy

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Perpustakaan FK Nomor Panggil: N08.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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She had been well until 11 weeks earlier when, while residing in Florida, a pustule on the right hand developed shortly after a fire-ant sting. Four hours later, rigors and fever, with temperatures as high as 38.9°C, developed. The next day, an erythematous, pruritic rash appeared on the upper left arm, and she went to the emergency department of another hospital. Analysis of the urine reportedly suggested an infection, and levofloxacin was administered. During the next 3 days, the rash spread to the buttocks and legs. Levofloxacin was stopped and oral corticosteroid therapy, tapered over a period of 4 weeks, was prescribed. Within 5 days after beginning prednisone, all symptoms resolved. She saw an allergist, who performed serum protein electrophoresis, radioallergosorbent testing, and testing for systemic lupus erythematosus, rheumatoid arthritis, and serum levels of IgE and C-reactive protein. All test results were reportedly normal.

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