Erysipelas in a Patient with Acute Pharyngo-Laryngitis and Nephritis.
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概要
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A 57-year-old man was admitted to our hospital because of sore throat, hoarseness and hematuria. His pharynx and larynx were very red and his vocal cords were swollen. On the second day after admission, a red rash of the trunk and neck developed suddenly.These symptoms and signs subsided after intravenous injections of flomoxef sodium (2g×6 days), but fever (37.0°C-37.7°C) and painful swelling of neck skin persisted. So injections of sultamicillin tosilate (1g×4 days) and dexamethasone were started, and these symptoms disappeared completely. Transient renal dysfunction, hematuria and proteinuria disappeared ten days after admission.The laboratory data and clinical course of this patient suggest that latent chronic nephritis was aggravated by erysipelas.