患者女性,50岁。1年多前因消瘦、多汗、心慌、无力、甲状腺肿大,诊断为“毒性弥漫性甲状腺肿”。一直用他巴唑治疗,每日30 mg,分3次口服,症状有所控制。因无明显诱因感咽喉痛、畏寒、发热半个月,急诊入院。体检:体温40℃,脉搏120次,血压140/80。发育正常,营养状态差,消瘦,双眼轻突,咽部充血,右侧扁桃体Ⅰ°肿 Female patient, 50 years old. More than a year ago because of weight loss, sweating, palpitation, weakness, goiter, diagnosed as “toxic diffuse goiter.” Has been treated with methimazole, 30 mg daily, 3 times orally, the symptoms are controlled. Because there is no obvious incentive to feel sore throat, chills, fever for half a month, emergency admission. Physical examination: body temperature 40 ℃, pulse 120 times, blood pressure 140/80. Normal development, poor nutritional status, weight loss, dull eyes, throat congestion, right tonsillecton I