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金黄色葡萄球菌(简称金葡菌)感染所引起的猩红热样皮疹,常被误诊为溶血性链球菌所致的猩红热。现报告3例金葡菌感染伴猩红热样皮疹被误诊为链球菌性猩红热的病例,并对非链球菌性猩红热皮疹的综合征提出简要讨论。病例摘要例1:男,3岁。于1975年12月19日突然发热,体温39℃,呕吐3次,为未消化食物,每次约50毫升,次日皮肤出现红色疙瘩。予青,链霉素肌注3天,高热不退。22日腹泻3次,呈绿色稀便,并发现右颌下红肿。23日以猩红热收入传染科。检查:体温39.5℃,颜面、颈部皮肤潮红,全身皮肤有弥漫性鸡皮样红色丘疹,尤以胸背部为著,疹间皮肤呈红晕,扪压红晕暂退。有口周苍白。双侧扁桃体Ⅱ度红肿。右侧颌下有3×3厘米,质硬,边缘清楚,有压痛之包块,局部皮肤红肿。心肺(一)。肝右锁骨中线肋缘下1.5厘米、脾肋下0.5厘米。血红蛋白9.5克％,白细胞17,400,中性80％。尿蛋白微量,镜下白细胞4～8个/高倍视野。血、便培养无致病菌生长。咽拭子培养
Staphylococcus aureus (referred to as Staphylococcus aureus) infection caused by scarlet fever-like rash, often misdiagnosed as hemolytic streptococcus-induced scarlet fever. Now report 3 cases of Staphylococcus aureus infection with scarlet fever-like rash was misdiagnosed as streptococcal scarlet fever cases, and non-streptococcal scarlet fever rash syndrome briefly discussed. Case Summary Example 1: Male, 3 years old. On December 19, 1975 a sudden fever, body temperature 39 ℃, vomiting three times, undigested food, each about 50 ml, the next day the skin appears red knots. To the green, streptomycin intramuscular injection for 3 days, high fever no refund. Diarrhea on the 22nd 3 times, was green loose stool, and found the right mandibular redness. On the 23rd scarlet fever income infection department. Check: Body temperature 39.5 ℃, facial, neck and skin flushing, systemic skin diffuse chicken-like red papules, especially in the chest and back, rash skin was flush, palpable flush to suspend. Have pale mouth week. Bilateral tonsil Ⅱ degree swelling. Right submandibular 3 × 3 cm, hard, clear edge, tender mass, local skin irritation. Heart and lung (a). Right hepatic subclavian midline rib margin 1.5 cm, 0.5 cm spleen ribs. Hemoglobin 9.5 g%, leucocytes 17,400, neutral 80%. Trace proteinuria, microscopic white blood cells 4 to 8 / high power field. Blood, they grow non-pathogenic bacteria. Throat swabs are cultured