Clinical observation on treatment of ecthyma with ningshu xiji.
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A 54-year-old female patient recurrently developed disseminated papules, red-brown in color and partly ulcerous, which spontaneously disappeared after 3-6 weeks. Histological examination revealed dense infiltration of atypical lymphocytes with epidermotropism. Immunohistological analysis showed predominantly helper T-cells (CD 4). Accordingly, we established the diagnosis of lymphomatoid papulosis. There was no evidence of malignant lymphoma.
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A comparison of the treatment of superficial skin infections using intramuscular benzathine penicillin G alone or combined with hexachlorophene scrubbing was conducted in 127 children. Of 72 children treated with benzathine penicillin alone, 94.4 percent had a good result. Of the 55 children receiving hexachlorophene scrubbing in addition to penicillin, 85.5 percent had a good result. The healing rate was higher (93 percent) in those children whose skin cultures grew Group A beta hemolytic streptococci. When staphylococcus aureus was the only pathogen isolated, the healing rate was 86 percent. Regardless of the pathogens isolated, the healing rate was not increased with scrubbing. Since scrubbing with hexachlorophene offered no improvement in the healing rate and since it adds to the expense and discomfort of treatment, it should be eliminated as part of the treatment.
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We review the cases of 19 successfully treated plague patients, with emphasis on the clinical and epidemiologic features of the disease. Proper staining and culturing of bubo aspirates; prompt institution of streptomycin, chloramphenicol or tetracycline therapy in presumptive cases, and supportive care are the crucial factors in the treatment of plague. This disease should be considered in patients in a toxic condition who have lymphadenitis, pneumonia or septic shock and who have been in endemic areas within the past ten days.
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