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A middle age pt completing a week course of dicloxacillin for folliculitis has fever and joint pain for 2 days, temp 38.6, P 72 and regular, R 16, BP 120/76 and appears comfortable. Exam: no abnormalities except an urticarial rash over the trunk and extremities, moderate generalized lymphadenopathy and diffuse joint tenderness. Cause of sx?
1. Serum sickness
2. Staph. Sepsis,
3. EBV inf.
4. Mycobacterium haemophilum inf.
5. IgE-mediated allergic rx.
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ans 1
Serum Sickness Type III hypersensitivity RXN
-Urticaria
-Lymphadenopathy
-Althralgia
Low Temp + Pt is already in peniciilin for Stap r/o 2
EBV assoc w/ Mono: Flu like Sx's in young
IgE = type I hypersens
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Serum sickness is more likely and EBV, so I will go with 1.
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YES AFTER READING BEN I FEEL LIKE GOING FOR SERUM SICKNESS--IAM THINKING OF CLOXACILLIN EFFECT AND ALLERGY AND INTERSTITIAL NEPHRITIS AND EOSINOPHILIRURIA AND EOSINOPHIL ARE RELATED TO IGE --SO WHAT SHOULD I DO
OK DONT CHANGE --BUT TYPE ONE IS ACUTE OK LETS SEE
