Adult Manifestation of Henoch-Schönlein Purpura.

Autor: Kemp DM; Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA; daria.kemp@jefferson.edu., Studdiford J; Sidney Kimmel Medical College at Thomas Jefferson University, and Department of Family and Community Medicine, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA., Osley K; Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA., Sahu J; Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA.
Jazyk: angličtina
Zdroj: Skinmed [Skinmed] 2016 Aug 01; Vol. 14 (4), pp. 303-306. Date of Electronic Publication: 2016 Aug 01 (Print Publication: 2016).
Abstrakt: A 51-year-old man initially presented to the hospital with a 2-week history of constipation, intermittently diffuse abdominal pain, nausea, vomiting, and productive cough. Results from chest x-ray and obstruction series appreciated a right lower lobe opacity and small right pleural effusion. The patient met sepsis criteria and was empirically covered for community-acquired pneumonia with vancomycin, piperacillin-tazobactam, moxifloxacin, and tobramycin. His hospital course was complicated by oliguria, acute kidney injury with a normal renal ultrasound, and transaminitis with a negative hepatitis panel. After clinical improvement, he was discharged on 2 additional days of levofloxacin to complete a 7-day antibiotic course.
Databáze: MEDLINE