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病史患儿,男,9岁,住院号26278。因发热咽痛2天,出皮疹半天于1981年2月17日入院。患儿于入院前2天骤起高热,热度持续在39℃上下,伴轻咳、呕吐、嗓子痛,入院当日晨全身见细小密集皮疹,近1周内无猩红热接触史。病后曾给四环素、APC 等治疗,热度仍不退而收住院诊治。查体体温39.1℃,急性病容,精神萎靡,呼吸平稳,面颊潮红,口周苍白圈明显并见不典型杨莓舌,咽部显著充血,扁桃体Ⅱ度红肿,隐窝内见白色脓性渗出物,右颌下可扪及2×1.5厘米之淋巴结1个,无波动感及触痛,颈无抵抗,心肺无异常,肝脾不大,全身见弥漫性猩红热样皮疹,尤以躯干密集,未
Childhood history, male, 9 years old, hospital number 26278. Due to fever sore throat 2 days, a half-day rash was admitted on February 17, 1981. The patient developed high fever 2 days before admission, and the heat continued to rise and fall at 39 degrees Celsius with mild cough, vomiting and sore throat. In the morning of admission, her body saw a small, dense rash and there was no history of scarlet fever within the first week. After the illness gave tetracycline, APC and other treatment, the heat is still not retreat admitted to hospital for treatment. Check the body temperature 39.1 ℃, acute disease, apathetic, smooth breathing, flushing cheeks, pale mouth circumference obvious and see the typical poplar tongue, pharyngeal hyperemia, swelling tonsil Ⅱ, crypt see white purulent exudation The right submandibular palpable 2 × 1.5 cm lymph nodes 1, no fluctuations and tenderness, cervical non-resistance, no abnormal heart and lung, liver and spleen is not large, the whole body see the diffuse scarlet fever-like rash, especially in trunk-intensive, not