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患者,男,45岁。因发热、咽痛、胸闷6天伴颈部肿痛4天于1984年10月22日以“急性扁桃体炎”收入院。因出现“支气管哮喘”入内科。查体:T38～39℃,咽部充血,扁桃体Ⅱ度肿大,表面附有脓性分泌物,右侧颈部有压痛。右肺散在哮鸣音。心电图正常。白细胞15200,中性78%,淋巴22%。用青、链、红霉素治疗,右肺哮鸣音消失,但高热不退,体温稽留在39～40℃。X线胸透及摄片发现:右上纵隔密度增高阴影。改用“氨苄青霉素”,仍高热,出现咳嗽,咯大量带臭味脓血痰。继之改用青霉素,出现胸骨部位及颈部明显疼痛,伴吞咽困难。入院
Patient, male, 45 years old. Due to fever, sore throat, chest tightness 6 days with neck sore 4 days in October 22, 1984 to “acute tonsillitis” income hospital. Due to the emergence of “bronchial asthma” into the medical. Physical examination: T38 ~ 39 ℃, pharyngeal congestion, tonsil Ⅱ degree enlargement, with purulent discharge on the surface of the right neck tenderness. Right lung scattered wheeze. Normal ECG. WBC 15200, neutral 78%, lymph 22%. With blue, chain, erythromycin treatment, right lung wheezing disappeared, but high fever, body temperature at 39 ~ 40 ℃. X ray and radiography found: right upper mediastinal density increased shadow. Switch to “ampicillin” is still high fever, cough, slightly with a foul blood stomping phlegm. Followed by the switch to penicillin, there sore chest and neck pain, with swallowing difficulties. Admission