患者女性,19岁,因“颈部疼痛伴发热8天,腰痛1天”入急诊。其入院前半个月因咽痛于外院诊为“扁桃体炎”,口服消炎药后好转。入院前8天出现发热,体温39℃,伴畏寒寒战、颈痛、颈部红肿,诊为颈部淋巴结炎,曾先后给以利复星、头孢呋辛钠、舒普深等疗效不佳,后给以泰能1.0g Q8h静点共四天,并加用甲硝唑,仍持 Female patient, 19 years old, was admitted to the emergency department for “neck pain with fever for 8 days and back pain for 1 day”. Half a month before admission due to sore throat in the hospital as a “tonsillitis”, after oral administration of anti-inflammatory drugs improved. 8 days before admission, fever, body temperature 39 ℃, with fear of cold chills, neck pain, neck swelling, diagnosed with cervical lymphadenitis, has to give benefit to Fosun, cefuroxime sodium, Shu Pu deep ineffective , After giving Thailand to 1.0g Q8h static point a total of four days, and add metronidazole, still holding