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患儿男,12岁.以发热16天为主诉于1988年7月入院.体温波动在38~39℃,病初咽痛,曾口服先锋霉素Ⅳ、复方新诺明无效.入院查体体温38.2℃,脉搏96次/分,血压16/11kpa(120/80mmHg),颈部及颌下可及数个黄豆大小淋巴结,无粘连及触痛.咽充血,心肺检查未见异常。肝肋下未及,脾肋下1.0cm,质中.入院后体温波动于37~39.8℃,住院第3天全身皮肤出现充血样皮疹,痒甚,1周后消退。第4~6天颈部、腋下、腹股沟等全身浅表淋
Children with male, aged 12. The main complaint of fever in 16 days was admitted to July 1988. Temperature fluctuations in the 38 ~ 39 ℃, the disease early sore throat, had oral cephalosporin IV, cotrimoxazole is invalid. 38.2 ℃, pulse 96 beats / min, blood pressure 16 / 11kpa (120 / 80mmHg), neck and submandibular lymph nodes can reach several size, no adhesion and tenderness. Pharyngeal congestion, no abnormal heart and lung examination. Under the liver ribs, the spleen ribs 1.0cm, quality in. After admission, body temperature fluctuations in the 37 ~ 39.8 ℃, the first 3 days of hospitalized patients with congestion-like skin rash, itching, 1 week later subsided. The first 4 to 6 days neck, armpit, groin and other systemic superficial shower