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Health, 03.09.2019 17:10 bnnn

A15-year-old girl admitted to the hospital with a 2-day history of pharyngitis and vaginitis associated with vomiting and watery diarrhea. she was febrile and hypotensive on admission, with a diffuse erythematous rash over her entire body. laboratory tests were consistent with acidosis, oliguria, and disseminated intravascular coagulation with severe thrombocytopenia. her chest radiograph showed bilateral infiltrates suggestive of "shock lung." (edema, impaired perfusion, and reduction in alveolar space so that the alveoli collapse). she was admitted to the hospital intensive care unit where she was stabilized, and she improved gradually over a 17-day period. on the third day, fine desquamation started on her face, trunk, and extremities and progressed to peeling of the palms and soles by the 14th day.

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