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Це менінгококцемія? - Сторінка 2 - Неврологія - Форум лікарів
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Це менінгококцемія?

Охрім
Повідомлень: 18
З нами з: 28 березня 2017, 13:32
Спеціальність: медицина невідкладних станів
Звідки: Буковина
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Re: Це менінгококцемія?

Повідомлення#11 » 07 червня 2017, 11:43

Версію "Сепсис" не розглядали? постін'єкційний наприклад... Епіданамнез по наркоті не обтяжений?

Аватар користувача
Тьотя Галя
Повідомлень: 3
З нами з: 26 травня 2017, 17:39
Спеціальність: лікар ШМД
Звідки: Житомир
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Re: Це менінгококцемія?

Повідомлення#12 » 09 червня 2017, 09:58

Вибачте, як треба описати, щоб було напевно ясно, що це висипка геморагічного характеру? Ви вважаєте, що фіолетово-коричнева не зникаюча при натисканні висипка характерна для краснухи?

Ви знаєте, на фото дуже схоже! а чи не могла у мого пацієнта бути легка форма менігококкцемії?

Ознак сепсису виявлено не було- ні менінгококового, ні постін'єкційного. по наркоті чисто- ні зовні, ні слідів. Та й по розмові - все норма.

Cutis
Повідомлень: 18
З нами з: 01 березня 2015, 14:32
Спеціальність: дерматологія
Звідки: Україна
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Re: Це менінгококцемія?

Повідомлення#13 » 09 червня 2017, 20:23


Мартинюк
Повідомлень: 40
З нами з: 01 березня 2015, 20:56
Спеціальність: невролог
Звідки: Київ
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Re: Це менінгококцемія?

Повідомлення#14 » 21 червня 2017, 19:25

Легкі та атипові форми менінгококової інфекції, як правило, протікають без геморагічних елементів або з одиничними. Темп появу висипань, описаний у пості, характерний для гіпертоксичної форми менінгококцемії, але є важливі відмінності: пацієнт з такою динамікою розвитку екзантеми давно б впав у шок, крім того, для вказаної форми захворювання характерна зливна висипка. Абсолютно згодна з тим, що диф. діагностика потрібна з дуже великим колом патології, включаючи васкуліти. Можна досить впевнено стверджувати, що це не менінгококцемія, але тактика, на мою думку, вірна.

Тетяна Федосенко
Повідомлень: 65
З нами з: 01 березня 2015, 20:44
Спеціальність: інтерн-хірург
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Re: Це менінгококцемія?

Повідомлення#15 » 22 червня 2017, 13:32

А може це гостра гематологічна патологія типу г. лейкозу...?

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