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患者,女、29a,因恶寒、发热8d,伴颈部淋巴结肿大疼痛,全身起风团块,瘙痒2d 入院。入院前曾服用过麦迪霉素、螺旋霉素,注射过青霉素,曾有磺胺药过敏史,无疫水疫区接触史。查体:T39℃x、BP80/50mmHg、贫血面容,全身散在大小不等之风团块,色红,双眼睑浮肿,咽红+,双侧颈前后均可触及较多蚕豆→杏核大之淋巴结,质软,可活动,压痛明显;肝脾均可及,无明显压疼。实验室检查:Hb7.4g%、WBC4200/mm~3、淋巴41%、多核42%、杆状12%、单核5%、晚幼红细胞1个,偶见点彩红细胞;血SGPT820(?),B 超:肝脾脏偏大。诊断为:急性淋巴结炎,药物过敏
Patients, female, 29a, due to aversion to fever, fever 8d, with neck lymph node enlargement pain, systemic blushes, itching 2d admission. Before admission, had taken midecamycin, spiramycin, penicillin injection, there was a history of allergy to sulfa drugs, no contact with the epidemic of water epidemic history. Physical examination: T39 ℃ x, BP80 / 50mmHg, anemia face, the body scattered in the size of the wind mass, color red, double eyelid edema, pharynx red, both sides of the neck before and after reaching more beans → apricot large Lymph nodes, soft, can move, tenderness obvious; liver and spleen are available, no significant tenderness. Laboratory tests: Hb7.4g%, WBC4200 / mm ~ 3, lymph 41%, multinucleated 42%, rod 12%, mononuclear 5%, late red blood cells 1, occasionally spot red blood cells; B: liver and spleen is too large. Diagnosis: acute lymphadenitis, drug allergy