摘要
A 65-yeat old woman with end-stage renal disease (ESRD) on maintenance hemodialysis was admitted for fever and chills for 3 days accompanied by forearm arterio-venous graft (AVG) swelling. Hematogram revealed marked leukocytosis (25800/μL) and blood culture reported methicillin-resistant Staphylococcus aureus (MRSA). Vancomycin (1 gram every 4 days) was used for AVG MRSA infection. Skin itching over palmar and plantar areas developed after a 2-week course of vancomycin. Palmar and plantar erythema occurred one day later and progressed to scaling lesions during the next 3 days. These desquamative leslons gradually improved after topical steroid use and vancomycin was withdrawn. We reported a vancomycin-induced palmoplantar erythema in a patient with maintenance hemodialysis. This report suggests vancomycin should be prescribed to dialysis patients with more caution.
貢獻的翻譯標題 | 透析病患發生萬古黴素相關之掌蹠紅斑 |
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原文 | 英語 |
頁(從 - 到) | 43-46 |
頁數 | 4 |
期刊 | Acta Nephrologica |
卷 | 23 |
發行號 | 1 |
出版狀態 | 已發佈 - 2009 |
對外發佈 | 是 |