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患儿,女,10岁,发热,咽痛6天,斜颈2天。6天前受凉发热、咽痛。诊断“急性化脓性扁桃腺炎”,经青霉素治疗5天,未缓解,近2天,颈部持续偏斜。查体:T38.5℃,咽充血、双侧扁桃体Ⅱ°肿大,表面有脓性分泌物覆盖,颌下淋巴结如葫豆大,轻度触痛,活动。右侧胸锁乳突肌肥大、坚实,头面旋向左侧、颈屈向右侧。心肺正常,血WBC12.6×10~9/L,N0.89,L0.11。咽及扁桃腺分泌物涂片查见革兰阴性杆菌。诊断:急性化脓性扁桃腺炎、痉挛性斜颈。经氨苄青霉素、复方新诺明及安定等治疗,2天后恢复正
Children, women, 10 years old, fever, sore throat 6 days, torticollis 2 days. Cold and fever 6 days ago, sore throat. Diagnosis of “acute suppurative tonsillitis”, after 5 days of penicillin treatment, did not ease, nearly 2 days, the neck continued to be skewed. Examination: T38.5 ℃, pharyngeal congestion, bilateral tonsil enlargement Ⅱ, the surface of purulent secretions covered, submaxillary lymph nodes such as gourd, mild tenderness, activity. Right sternocleidomastoid muscle hypertrophy, solid, head spin to the left, neck flexor to the right. Cardiopulmonary health, blood WBC12.6 × 10 ~ 9 / L, N0.89, L0.11. Pharyngeal and tonsil secretion smear found gram-negative bacilli. Diagnosis: Acute suppurative tonsillitis, spasmodic torticollis. After ampicillin, cotrimoxazole and diazepam treatment, recovered after 2 days