1病史摘要患儿,男,9岁。因持续发热8d,发现颈部肿块1d于2003年8月14日入院。患儿于入院前8d无诱因下发热,体温波动在38.5～39.2℃,用退热药后可暂时下降,发热时无畏寒、乏力。在外院予红霉素、头孢拉定、阿齐霉素等治疗8d,体温仍不退。1d前家长无意中发现患儿颈部有一肿块,无疼 1 history Abstract children, male, 9 years old. Due to persistent fever 8d, found that the neck mass 1d was admitted on August 14, 2003. Children in the pre-admission 8d no incentive to fever, body temperature fluctuations in the 38.5 ~ 39.2 ℃, with antipyretics can be temporarily decreased, fever without chills, fatigue. In the outer court to erythromycin, cephradine, azithromycin and other treatment 8d, body temperature is still not refundable. 1d before the parents accidentally found in children with a lump of the neck, no pain