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患者,男,61岁,农民。因咽痛伴吞咽困难及双侧颌下肿痛3个月余,于2008年6月10日来我院就诊。患者3个月前无明确诱因出现咽部疼痛,吞咽困难,双侧颌下肿胀、疼痛,并逐渐加重,无畏寒、发热、腹痛、腹泻、腹胀、呕吐。在当地医院应用多种抗生素治疗效果不佳。查体:精神不佳,双侧颌下
Patient, male, 61 years old, farmer. Due to sore throat with swallowing difficulties and bilateral submandibular swelling and pain more than 3 months, in June 10, 2008 came to our hospital. Patients with pharyngeal pain, dysphagia, bilateral submandibular swelling, pain, and gradually aggravated without evidence of definite cause 3 months ago, without chills, fever, abdominal pain, diarrhea, bloating and vomiting. Various antibiotics are not effective in local hospitals. Physical examination: poor health, bilateral submandibular