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主治医师:请实习医师报告病历。实习医师:本患者男,4岁。因发热、左颌下肿胀8天,于1984年11月15日入院。8天前突然发热38℃以上,次日增至39℃,第三天增至40℃,以后持续不退,以夜间为甚。病后第2天左颌下肿胀,中心稍硬,有压痛。病后第4天双眼睑发红。用青、庆大霉素无效,而改用庆大霉素和红霉素亦无效。病后5～8天有腹痛、腹泻,每天大便2～4次,稀便,有较多粘液,无脓血。在院外查便常规红、白细胞(+)、脓细胞、吞噬细胞(+)。3天前双手指普遍红肿,口腔轻度糜烂。
Attending physician: Please report the medical record of the intern. Intern: The patient male, 4 years old. Due to fever, left submandibular swelling of 8 days, on November 15, 1984 admission. Suddenly fever more than 38 ℃ 8 days ago, the next day increased to 39 ℃, the third day increased to 40 ℃, after continued retreat to night even. On the second day after the illness, the left submandibular swelling, the center slightly harder, tenderness. On the fourth day after the illness, the eyelids became reddish. With blue, gentamicin invalid, and switch to gentamicin and erythromycin is invalid. 5 to 8 days after the illness has abdominal pain, diarrhea, stool 2 to 4 times a day, loose stools, more mucus, no sepsis. In the hospital to check routine red, white blood cells (+), pus, phagocytes (+). 3 days ago refers to the general swelling of both hands, mild oral erosion.