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女,2岁,因臀部长疮伴发热3天入院。入院前3天左臀部长一小疮,伴发热38℃左右。翌日面、颈及背部皮肤起红色粟样皮疹,并被及全身,无痒感,疮逐渐增大变硬,体温升高达40℃。用四环素、青霉素等治疗无效,拟臀部脓肿、败血症待排除入院。体检:体温40.3℃,发育正常,营养中等,精神疲乏,全身皮肤见弥漫性充血性斑丘疹,躯干尤著,压之退色。左臀部见5×6厘米大小脓肿一个,红、肿、热、压痛明显,无波动感。全身浅表淋巴结无肿
Female, 2 years old, because of hip long sore with fever 3 days admitted. 3 days before admission, a small sore left hip, with fever about 38 ℃. The following day, the skin of the neck and back red millet-like rash, and was the whole body, no itching, sores gradually increased harden, body temperature up to 40 ℃. Treatment with tetracycline, penicillin and other ineffective, to be hip abscess, to be excluded from hospital admission. Physical examination: body temperature 40.3 ℃, normal development, moderate nutrition, mental fatigue, see the whole body of the skin diffuse congestive maculopressia, torso particularly, the pressure of the fade. Left abdomen see 5 × 6 cm size abscess, red, swollen, hot, tenderness obvious, no fluctuations. Systemic superficial lymph nodes without swelling