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病例:男性,4岁,因发热,咽痛3天,于1992年6月1日入院。查体:T40.5℃,P12.5次/分。神志清,精神不振,发育正常,呈急性热病容,右侧颌下淋巴结肿大约2cm×2cm,触痛无波动感,咽部充血,双侧扁桃体肿大°,充血无脓苔,心肺闻诊王常,余无异常。血检验 Hb120g/L,RBC4.0×10~(12)/L,WBC7.0×10~9/L,S0.68<0.32,SR21mm/h。尿化验正常,胸透两肺纹理强。临床初步论断:急性扁桃体炎,急性淋巴结炎。入院后给予抗生素退热、补液等疗法,病儿持续发热、体温波动在38-40℃,住院第3天逐渐出现麻疹样皮疹,双眼球结膜充血,口唇潮红、干燥皲裂。口腔、咽部粘膜弥漫性充血。四肢疼痛,双下肢不能站立,手足硬性肿胀,表面皮肤潮红,住院第7天
Case: Male, 4 years old, due to fever, sore throat for 3 days, on June 1, 1992 admission. Physical examination: T40.5 ℃, P12.5 times / min. Consciousness, lack of energy, normal development, was acute fever, right submandibular lymph nodes about 2cm × 2cm, tenderness and no fluctuations in the sense of throat congestion, bilateral tonsil enlargement °, congestion and no pus moss, cardio-pulmonary smear Wang Chang, Yu no abnormalities. Blood test Hb120g / L, RBC4.0 × 10-12 / L, WBC7.0 × 10-9 / L, S0.68 <0.32, SR21mm / h. Urinalysis is normal, chest strong two lungs texture. Preliminary clinical judgment: acute tonsillitis, acute lymphadenitis. Antibiotics were given after admission, such as fever, rehydration and other therapies, sick children continued fever, body temperature fluctuations at 38-40 ℃, the first day of hospitalization 3 cases of measles-like rash, conjunctival hyperemia, lip flush, dry chapped. Oral, pharyngeal mucosa diffuse hyperemia. Extremity pain, both lower extremities can not stand, hand and foot hard swelling, the surface of the skin flush, hospital 7 days