Thanks to the lilac garden station friend @ xiaoshuai a bar to share the quality of the case ~
Child: 6 years old, male.
Brief history: admission to hospital for 3 days due to fever and rash. There was no obvious precipitating fever in the child 3 days ago, the fever peak: 39.5 °C, no convulsions, chills, the body temperature dropped normally after oral antipyretic drugs, but it was easy to repeat, and the fever was 2-3 times /day.
Rash, granular bulge, rash on the trunk, hard swelling of the extremities, redness and swelling of the right hand forearm, no cough, no runny nose congestion, no vomiting and diarrhea, oral "cefixime" and proprietary Chinese medicine treatment, the effect is not good. I came to our hospital today, and for further treatment, I was admitted to the hospital first. Onset of the disease, the child's spirit, food, sleep, normal bowel and bowel movements.
Past history: The child had a history of right hand fall 5 days ago, the specific family can not describe in detail, has been treated in the hospital, the hand X-ray examination did not see abnormalities, and was ordered to temporarily observe.
Admission to the hospital for physical examination: clear consciousness, red rash can be seen on the trunk, miliary, normal skin between the rashes, fading of pressure, no itching, increased skin temperature. The right hand forearm may be red and swollen, tenderness is evident, and the skin temperature is increased. Stiff swelling may be seen on both palms and soles of the feet, with a slight peel between the fingers. Pharyngeal congestion, pharyngeal isthmus hyperemia is pronounced, tonsils 2 degree enlargement, no abnormal discharge, cardiopulmonary auscultation no abnormalities. Muscle tone in the extremities is normal, and there is numbness in the palms of both hands.
Adjunctive tests are as follows: stool, blood culture results are normal.
