Diagnosis?
Acute generalized erythematous pustulosis (AGEP).
The above patient was admitted for an elective surgery of left obstructive uropathy due to ureteric calculi. On third day, she developed spiking temperature in the ward, and thus the procedure was cancelled. She was empirically started on IV Cefoperazone. She then developed the above small pustular lesion over the limbs as well as some scattered lesions over the trunk after two days. Blood investigations were unremarkable.
On review of her old notes, she was diagnosed as having AGEP two months before, and responded to a course of oral Itraconazole.
Assuming that she might be having similar candida infection, she was prescribed Itraconazole again. However, the lesions resolved completely the next day before Itraconazole was managed to be given. The antibiotic was stopped and she became afebrile.
Is the AGEP due to Cefoperazone or due to infection?
More:
AGEP due to herbal remedy.
IJDVL.
Archieve of Dermatology.
RegiScar Project.
Rev. Inst. Med trop. S. Paulo.
Dermatology Online Journal.
Medscape.
On review of her old notes, she was diagnosed as having AGEP two months before, and responded to a course of oral Itraconazole.
Assuming that she might be having similar candida infection, she was prescribed Itraconazole again. However, the lesions resolved completely the next day before Itraconazole was managed to be given. The antibiotic was stopped and she became afebrile.
Is the AGEP due to Cefoperazone or due to infection?
More:
AGEP due to herbal remedy.
IJDVL.
Archieve of Dermatology.
RegiScar Project.
Rev. Inst. Med trop. S. Paulo.
Dermatology Online Journal.
Medscape.
3 comments:
Do you even speak English? Seriously, wall of text crits me for 99999k.
Do you even speak English? Seriously, wall of text crits me for 99999k.
Do you even speak English? Seriously, wall of text crits me for 99999k.
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