A 36-year-old woman with Down's syndrome and spleen
hypo-plasia presented with a fever of 40°C lasting for 12 hours.
She had taken 1 mg prednisolone/day for mild graft-versus-host
disease after allogeneic stem cell transplantation 4 years
previously. Her BP was 91/44 mm Hg, HR 110 beats/min and RR 30
breaths/min. Her heart sound, lung sound, and skin appearance were
unremarkable. Laboratory findings showed leucocytosis (13.12×109/L)
and normal platelet count (269×109/L). She was discharged home, but
16 hours after fever onset, experienced cardiopulmonary arrest.
Figure 1. The patient's appearance on
Which of the following does the image (figure 1) show?