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临床资料患者,男性,30岁,未婚。主因右上腹疼痛伴发热2 d,于2012年6月9日就诊于普外科门诊。就诊当日患者急性痛苦面容,体温39.2℃,心率100次/min,右上腹压痛,莫菲征(+)。腹部彩超示:胆囊炎,胆结石。血常规中WBC18×109/L,中性粒细胞百分比87%,外科考虑急性胆囊炎、胆结石,予静脉注射夫西地酸、替硝唑,症状稍减轻。2 d后头面部开始出现红斑,随后躯干亦出现少量相同皮损,少数破
Clinical data Patient, male, 30 years old, unmarried. The main cause of right upper quadrant pain with fever 2 d, June 9, 2012 visit to general surgery clinic. On the day of treatment, the patient had an acute painful face, body temperature 39.2 ℃, heart rate 100 beats / min, tenderness in his right upper quadrant, and Murphy’s sign (+). Abdomen color ultrasound show: cholecystitis, gallstones. Blood routine WBC18 × 109 / L, the percentage of neutrophils 87%, surgical consideration of acute cholecystitis, gallstones, intravenous injection of fusidic acid, tinidazole, the symptoms slightly reduced. 2 days after the first facial erythema appeared, followed by a small amount of the same trunk lesions, a few broken