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患者女性,34岁,住院号41013。患浸润型肺结核,曾于入院前用异烟肼、链霉素一月,无反应,1983年9月10日收入结核科,继用上述二药增服对氨柳酸3.0克一日三次。9月16日出现不规则发热,伴有颈部、腋下、腹股沟浅表淋巴结轻度肿痛。给予服用扑热息痛,肌注复方氨基比林等治疗,未见好转,并出现全身皮肤潮红,弥漫性红色斑匠疹、搔痒。既往有青霉素过敏史。皮肤科会诊疑为药物过敏。停用全部药物,并给予抗组织胺药物治疗。第二天体温恢复正常,皮疹消退。在停药第七天,试用对氨柳酸3.0克顿服,半小时出现畏
Patient female, 34 years old, hospital number 41013. Suffering from infiltration of pulmonary tuberculosis, had before admission with isoniazid, streptomycin January, no response, September 10, 1983 income tuberculosis, followed by the above two drugs by the service of salicylic acid 3.0 grams three times a day. September 16 irregular fever, accompanied by neck, armpits, groin superficial lymph nodes mild swelling and pain. Given taking paracetamol, intramuscular injection of compound aminopyrine and other treatment, no improvement, and there is systemic flushing, diffuse red smith rash, itching. Past history of penicillin allergy. Dermatology consultation suspected drug allergy. All drugs were discontinued and antihistamines were given. Body temperature returned to normal the next day, the rash subsided. In the seventh day of withdrawal, the trial of 3.0 grams of amino acid Salbutamol, half an hour of fear