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例一:男,5岁。入院前3天发热,全身出疹。3天前突然高热,躯干皮肤充红,搔痒。诊所给予退热药,体温未见下降,发热达40℃,皮肤充红范围增加,且遍及四肢。3天来发热不退,诊为猩红热入院。体查:体温39.8℃,脉搏120次,呼吸26次,血压100/60。发育营养良好,面部皮肤一片通红,口周呈苍白。全身皮肤有针帽大红色皮疹,密集,疹子可见少量粟粒状,皮肤皱摺处可见有线状疹(帕氏线)。舌呈草莓样舌苔(3天后舌苔脱落后呈杨梅样)。颌下淋巴结肿大如蚕豆大,可活动。咽充血,双侧扁桃体艹,表面无脓性分泌物。心肺无异常。肛门旁有一荔枝核大脓肿,局部红肿痛热。检查:白细胞11200,中性多核型93％,淋巴7％,独列氏体2％。咽拭物培养乙型链球菌阴性,
Example 1: Male, 5 years old. 3 days before admission, fever, body rash. Suddenly hot 3 days ago, the skin red, itchy. Clinics to give antipyretics, no decline in body temperature, fever up to 40 ℃, red skin increased range, and throughout the limbs. 3 days fever, retreat diagnosed as scarlet fever. Physical examination: body temperature 39.8 ℃, pulse 120 times, breathing 26 times, blood pressure 100/60. Well-developed nutrition, a flushed facial skin, mouth was pale. The whole body has a needle cap red rash, dense, a small amount of miliary rash visible, visible at the skin fold rash (Pasignon line). Tongue was strawberry-like tongue (3 days after the tongue was off Myricaceae). Submandibular lymph nodes such as broad beans, can be active. Pharyngeal hyperemia, bilateral tonsil 艹, no purulent secretions on the surface. No abnormal heart and lung. Anal litchi nuclear abscess, local swelling and pain. Check: white blood cells 11200, 93% of neutral polykaryotes, lymphatic 7%, 2% of monolith. Throat swab culture streptococcus negative,