1病例报告患者女,17岁。因“左侧腋窝肿块伴皮肤破溃2周,发热3d”于2012-03-08入院。患者2周前无明显诱因出现左侧腋窝肿块伴疼痛,上肢活动后加重,就诊于当地医院给予青霉素类药物抗感染治疗1周余,左侧腋窝肿块进行性肿大,按压疼痛,肿块表面散在破溃。3d前患者发热,体温最高39.5℃,肿块表面破溃处伴血性液体渗出。患者否认既往有结核、伤寒及 1 case report patient female, 17 years old. Because “left armpit mass with skin ulceration 2 weeks, fever 3d ” in the 2012-03-08 admission. Patients with no obvious cause of 2 weeks before the left armpit mass with pain, aggravated after upper limb activity, treatment at the local hospital for penicillin anti-infective therapy for more than 1 week, the left axillary mass swelling, pressing the pain, the surface scattered in the Ruptured. Patients with fever before 3d, body temperature up to 39.5 ℃, ulceration at the surface of the tumor with bloody fluid exudation. Patients denied past tuberculosis, typhoid fever and