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題 名 | Vancomycin Associated Palmo-Plantar Erythema in a Hemodialysis Patient=透析病患發生萬古黴素相關之掌蹠紅斑 |
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作 者 | 王彥智; 吳逸文; 周家麒; 蔡啟仁; 鍾文宏; 吳麥斯; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 23:1 2009.03[民98.03] |
頁 次 | 頁43-46+59 |
分類號 | 415.819 |
關鍵詞 | 掌蹠紅斑; 蹠掌疼痛紅斑; 肢端紅斑症候群; 萬古黴素; 末期腎病變; Palmo-plantar erythema; Palmo-plantar erythrodysesthesia; Acral erythema syndrome; Vancomycin; End-stage renal disease; |
語 文 | 英文(English) |
英文摘要 | 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 These desquamative leslons gradually improved after topical steroid use and vancomycin was withdrawn.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. |
本系統中英文摘要資訊取自各篇刊載內容。