COVID-19 presenting as acute generalized exanthematous pustulosis associated with multiorgan dysfunction in a 44-year-old female patient

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.

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Bibliographic Details
Main Authors: Ordoñez,Nicolás Ariza, Sepulveda,Valeria Gomez, Vargas,Lina Patricia, Moreno,Julian Mauricio
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652021000100507
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