患者男性,43岁,因咽喉痛二月伴颈部肿块一月,经抗炎治疗二月无效,以往无肺结核史。检查:体温37.8℃,脉搏58次/分,形体消瘦,右扁桃体红肿Ⅲ°,粘膜充血糜烂高低不平,并在其表面见有散在性淡黄色干酪样物附着,左扁桃体红肿Ⅰ°,右颈后三角区扪及肿大淋巴结一枚,质硬,30×30毫米,固定无波动,心肺腹均无阳性体征。胸片示:肺野清晰,侧位片未见气管支气管旁淋巴结。血:血红蛋白9.5/L,白血球3.6×10~9/L,中性56%,淋巴44%。初步诊断为扁桃体炎症并有溃 The patient, male, 43 years old, had a sore throat with neck mass in January and was ineffective in February after anti-inflammatory treatment. In the past, he had no history of pulmonary tuberculosis. Check: body temperature 37.8 ℃, pulse 58 beats / min, body weight loss, right tonsil swelling Ⅲ °, mucosal hyperemia erosion rugged, and in its surface see scattered yellow cheese-like attachment, left amygdala swelling Ⅰ °, right neck Posterior trigonometry palpable enlarged lymph nodes, hard, 30 × 30 mm, no fluctuations in the fixed, no signs of positive signs of cardiopulmonary abdomen. Chest X-ray showed: lung field is clear, no lateral bronchial lymph nodes. Blood: hemoglobin 9.5 / L, white blood cells 3.6 × 10 ~ 9 / L, 56% of neutral, lymphatic 44%. Preliminary diagnosis of tonsil inflammation and collapse