报告由缓症链球菌引起的类猩红热68例,其流行季节和临床表现与经典猩红热颇为相似,但21.8％皮疹不典型,中毒型占15.23％。中毒型患者发生于流行初期和中期,均伴有不同程度的休克,神志不清或昏迷。大剂量青霉紊为首选和特效药物;早期应用糖皮质激素可迅速降温、抗休克、有效地防止赫氏反应;当血压≤4～8/2～4kPa时,必须早期应用血浆,提高血浆胶体渗透压。该病预后良好。 Reported 68 cases of Streptococcus mutans-like scarlet fever, the seasonal and clinical manifestations of its epidemic and the classic scarlet fever is quite similar, but 21.8% of the rash is not typical poisoning accounted for 15.23%. Toxic patients occur in the early and mid-term epidemic, are associated with varying degrees of shock, confusion or coma. High-dose penicillin is the preferred and specific drugs; early application of glucocorticoids can be rapidly cooled, anti-shock, effectively prevent Heath reaction; when the blood pressure ≤ 4 ~ 8/2 ~ 4kPa, the early application of plasma must be increased plasma colloid Osmotic pressure. The prognosis is good.