Journal: | Revista do Instituto de Medicina Tropical de Sao Paulo |
Database: | |
System number: | 000537117 |
ISSN: | 0036-4665 |
Authors: | Ordoñez, Nicolás Ariza1 Sepulveda, Valeria Gomez1 Vargas, Lina Patricia1 Moreno, Julian Mauricio1 |
Institutions: | 1Universidad Nacional de Colombia, Fundación Cardioinfantil, Bogotá, Arauca. Colombia 2Universidad del Rosario, Bogotá, Bogotá. Colombia |
Year: | 2021 |
Volumen: | 63 |
Country: | Brasil |
Language: | Inglés |
English abstract | Acute generalised exanthematous pustulosis (AGEP) is an unusual cutaneous reaction, most often related with a hypersensitivity reaction to commonly used drugs. It is characterized by an abrupt onset of a pustular rash within hours or days after drug exposure and usually resolves spontaneously within 1-2 weeks after drug discontinuation. Some cases associated with systemic involvement and shock have been reported. We present the case of a severe AGEP, manifesting in association with systemic involvement and haemodynamic instability resulting in shock and multiorgan dysfunction in an adult female patient diagnosed with COVID-19 infection. There were no identifiable associated drugs, and the patient was not initiated on antimalarial drugs. Our patient improved rapidly, both hemodynamically and dermatologically with no directed therapy. |
Keyword: | COVID-19, Skin manifestations, SARS CoV-2, Shock |
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