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患者,女性,23岁.因发热、咽痛、全身淋巴结肿大17天,皮疹4天于1987年4月25日入院.4月11日无明显诱因自觉发热,咽痛,全身困乏;但无头痛、流涕、咳嗽.同时伴有四支关节酸困.外院检查发现扁挑体Ⅱ度肿大、表浅淋巴结可触及.按上感处理,静滴氨苄青霉素一周,口服强的松3次(每次10mg).症状无明显改善,体温始终波动于38～40℃之间.4月23日皮肤出现弥漫性红色斑丘疹,面部、四肢、会阴部肿胀.门诊以发热待查于4月25日收住院.入院检查:T38.5℃,P112/min,R20/min,BP12.5/8kPa(94/60mmHg).全身皮肤可见红色斑丘疹,颜面肿胀,咽红,扁桃体Ⅱ度肿大.甲状腺不大,无压痛.肺(-)、肝(-)、脾肋
Patient, female, age 23. Due to fever, sore throat, generalized lymphadenopathy for 17 days, the rash was admitted to hospital on April 25, 1987. On April 11 there was no obvious predisposition to fever, sore throat and generalized sleepiness without apparent predisposition; Headache, runny nose, cough .At the same time accompanied by four joint acid sleepy.Outside the hospital found that flat acupuncture Ⅱ degree swollen, superficial lymph nodes can be touched.A sense of treatment, intravenous infusion of ampicillin a week, oral prednisone 3 times (Each time 10mg) .No significant improvement in symptoms, body temperature and always fluctuated between 38 ~ 40 ℃ April 23, the skin appeared diffuse red rash, facial, limbs, perineal swelling. Outpatient fever pending investigation in April Admitted to hospital on the 25th. Admission examination: T38.5 ℃, P112 / min, R20 / min, BP12.5 / 8kPa (94/60 mmHg). Red rash visible on the whole body, facial swelling, Small thyroid, no tenderness, lung (-), liver (-), spleen