患者女,30岁。因咽喉肿痛于2006年1月28日来院就诊,诊断为急性化脓性扁桃体炎,伴有发热,T38.7℃。给予头孢克洛(希刻劳,苏州礼来制药有限公司,批号:051027) 250mg po,tid,,连服3d,症状减轻,体温恢复正常,血WBC 6.0×10~9·L~(-1)。第4日晨起,发现左手指各关节红肿、发热、疼痛。怀疑类风湿性关节炎,检查类风湿因子阴性,其它实 Female patient, 30 years old. Due to sore throat in January 28, 2006 to the hospital, diagnosed with acute suppurative tonsillitis, accompanied by fever, T38.7 ℃. Given cefaclor 250mg po, tid, even served 3d, symptom relief, body temperature returned to normal, blood WBC 6.0 × 10 ~ 9 · L ~ (-1) ). On the morning of the fourth day, it was found that the left hand joints swell, fever and pain. Suspected rheumatoid arthritis, rheumatoid factor negative examination, other real