問題詳情
3.一位家住高雄的10歲男童出現發燒、肌肉痠痛和關節痛，約於第4病日出現皮疹如圖所示，先從手腳開始進而擴散至軀幹，病人手掌、腳掌出現輕度腫脹，手掌緊繃感，掌心搔癢，有些刺痛感；血液檢查發現：血紅素為9.5gm/dL、血比容為28.5%、白血球為4,000/mm3，其中以淋巴球為主約佔65%，並出現非典型淋巴球16%、血小板為43,000/mm3，GOT:200 U/L、GPT:59 U/L ，下列敘述何者正確？ 
(A)病童為感染EB病毒引起之傳染性單核球增多症，若皮疹變嚴重應考慮使用類固醇治療
(B)病童為感染A群鏈球菌引起之猩紅熱，須趕快使用抗生素治療10天，以免引起風濕熱
(C)病童為登革熱，屬於第二類法定傳染病，需於24小時內通報並抽血送至疾病管制局檢查
(D)病童為感染微小病毒B19引起之傳染性紅斑，應嚴密追蹤血球變化以及早偵測是否出現噬血症候群
(A)病童為感染EB病毒引起之傳染性單核球增多症，若皮疹變嚴重應考慮使用類固醇治療
(B)病童為感染A群鏈球菌引起之猩紅熱，須趕快使用抗生素治療10天，以免引起風濕熱
(C)病童為登革熱，屬於第二類法定傳染病，需於24小時內通報並抽血送至疾病管制局檢查
(D)病童為感染微小病毒B19引起之傳染性紅斑，應嚴密追蹤血球變化以及早偵測是否出現噬血症候群
參考答案
答案：C
難度：適中0.482759
統計：A(6),B(0),C(14),D(3),E(0)
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