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患者,男,59岁,主因发热,咽痛12d,双手指间关节肿痛7d入院。患者12d前受凉后出现发热,体温39℃,寒颤,咽痛,四肢疼痛,就诊于当地医院。查体,扁桃体Ⅱ~Ⅲ度肿大,表面覆有白色分泌物,化验提示白细胞升高,中性粒细胞比例升高,考虑“急性化脓性扁桃体炎”予以拜复乐每天0.4g抗感染治疗4d,体温正常及咽痛好转停药。7d前无明显诱因出现双手指尖红肿、胀痛,指腹压力增高伴波动性剧痛,逐渐出现双手指
Patients, male, 59 years old, the main due to fever, sore throat 12d, finger joint pain 7d admission. Patients before 12d after the onset of fever, body temperature 39 ℃, chills, sore throat, extremity pain, visit a local hospital. Examination, tonsil Ⅱ ~ Ⅲ degree enlargement, the surface covered with white secretions, laboratory tests prompted leukocytosis, increased neutrophil ratio, consider "acute suppurative tonsillitis Infection treatment 4d, normal body temperature and sore throat relief stop medicine. 7d before no obvious incentive to appear both hands Fingertip swelling, pain, increased pressure on the pulp with volatile pain, the gradual emergence of both fingers