患者男性,27岁。因下前牙区肿痛1周而就诊。患者于1周前进食多量糖果后,感到下中切牙不适。自服麦迪霉素0.3克,每日二次,次日下中切牙区疼痛加重,肌注青霉素80万u,每日三次,当夜开始发热,体温波动在39℃左右,牙痛加重,伴头昏、乏力,第三日开始静脉滴注青霉素560万 Patient male, 27 years old. Because of the anterior tooth area swelling and pain for a week and treatment. The patient felt a lower incisor discomfort after eating a large amount of candy a week ago. Self-serving mimenmycin 0.3 grams, twice daily, the next day under the central incisor aggravated pain, intramuscular injection of penicillin 800000 u, three times a day, began to fever the night, body temperature fluctuations at about 39 ℃, increased toothache, with head Faint, fatigue, the third day began intravenous infusion of penicillin 5.6 million