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患儿,男,4岁。主因发热4d,左颈部肿胀2d以急性淋巴结炎住院。当日体温39.4℃,前额部、前臂、双手背散在充血性皮疹。左颈部淋巴结肿大,约2×2cm,局部不红,不热,轻度压痛,界限清。双眼结膜轻度充血。口唇干燥,舌质红,咽部充血,扁挑体Ⅱ°肿大。心肺腹未见异常。次日,体温40.2℃,伴腹泻、腹胀,请儿科会诊。查:巩膜、全身皮肤黄染明显,手指末端硬性红肿,肝右肋下0.5cm,剑突下1.5cm叩痛、触
Children, male, 4 years old. Mainly due to fever 4d, left neck swelling 2d hospitalized with acute lymphadenitis. On the day the temperature was 39.4 ℃, the forehead, forearm, hands back scattered congestive rash. Left and neck lymph nodes, about 2 × 2cm, local red, not hot, mild tenderness, clear boundaries. Eyes conjunctival mild hyperemia. Dry lips, red tongue, pharynx congestion, flat pick Ⅱ ° swollen. Cardiopulmonary abdomen no abnormalities. The next day, body temperature 40.2 ℃, with diarrhea, bloating, please pediatric consultation. Check: sclera, yellowish skin obvious body, the end of the finger rigid inflamed, right rib 0.5cm, 1.5cm below the xiphoid percussion pain, touch