PMC4531955_01
The scarlatiniform skin rash in the 16-year-old boy with hemolytic uremic syndrome associated with Epstein-Barr virus infection. This rash appeared a few days before admission and subsided on the 3rd day after admission.
kjim-13-2-131-11f1.jpg
PMC4531955_01_kjim-13-2-131-11f1.jpg
f1-kjim-13-2-131-11
He had a skin rash over his entire body (scarlatiniform and petechial) (Fig. 1, 2), periorbital edema, cervical lymphadenopathy and severe tenderness in the right costovertebral area.
In the close-up of back, the petechial lesions were also observed. They also seem to be due to the Epstein-Barr virus infection.
kjim-13-2-131-11f2.jpg
PMC4531955_01_kjim-13-2-131-11f2.jpg
f2-kjim-13-2-131-11
He had a skin rash over his entire body (scarlatiniform and petechial) (Fig. 1, 2), periorbital edema, cervical lymphadenopathy and severe tenderness in the right costovertebral area.
The serum hemoglobin level, platelet count, blood urea nitrogen and creatinine before and after admission. Transfusion was done as follows: 4 units of packed RBCs 3 days before admission, 10 units of platelet concentrates and 2 units of fresh frozen plasma 2 days before admission and 2 units of packed RBCs on the 4th and on the 17th day after admission. H: hemodialysis; P: plasmapheresis using 10 units of fresh frozen plasma; T: transfusion; Hb: hemoglobin; BUN: blood urea nitrogen; Cr: creatinine.
kjim-13-2-131-11f3.jpg
PMC4531955_01_kjim-13-2-131-11f3.jpg
f3-kjim-13-2-131-11
Other values had also improved; the hemoglobin level, 101 g/L; reticulocyte, 0.001; platelet count, 190x109 /L; total bilirubin, 5.1 mumol/L; AST, 0.31 mukat/L; ALT, 0.17 mukat/L; blood pressure was 140/90 mmHg (Fig. 3).