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主治医师请实习医师报告病史。实习医师患者男,3岁,因发热、咽痛、右颌下肿胀8天,皮疹3天入院。8天前突然发热38℃,咽部微痛。次日体温增至39℃,第3日增至40℃,以后持续不退。病后第2天右颌下肿胀、压痛、咽痛加重。病后第4天双眼发红,躯干部出现红色斑疹,有痒感。用青、链霉素治疗无效,疑诊为败血症,改用新青霉素Ⅱ和庆大霉素仍无效。病后第5天口腔轻度糜烂,双手指红肿;并出现腹痛腹泻,每日大便3～5次,呈黄色糊状,有粘液。在院外作大便常规检查:白细胞(+),红细胞少许。有尿痛,无尿频、尿急。既往无特殊病史。
The attending physician asked the intern to report the medical history. Intern patient male, 3 years old, due to fever, sore throat, swelling of the right mandibular 8 days, rash 3 days admitted. Suddenly fever 38 ℃ 8 days ago, throat slightly pain. The next day the body temperature increased to 39 ℃, the third day increased to 40 ℃, after continued non-refundable. Day 2 after the right submandibular swelling, tenderness, sore throat aggravated. On the fourth day after the illness, his eyes were reddish, his body showed a red rash and itching. With blue, streptomycin treatment is invalid, suspected of sepsis, switch to new penicillin Ⅱ and gentamicin still ineffective. 5 days after illness mild oral erosion, both fingers inflamed; and abdominal pain and diarrhea, stool 3 to 5 times a day, yellow paste, mucus. In the hospital for stool routine examination: white blood cells (+), red blood cells a little. Have dysuria, no urinary frequency, urgency. No special medical history.