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患者男,13岁,因水疱疹7d,发热2d,意识不清1d于2005年2月12日入院。患水痘后第5天发热,体温最高40C,弛张热型,伴左眼红肿、疼痛,血常规WBC16.9×109/L,N0.92。先后给予左氧氟沙星、头孢唑啉、阿齐霉素、地塞米松等治疗,体温不降。第7天出现烦躁、嗜睡,疑“肾病综合征出血热”转来我院。入院查体:T39.2℃,P132次/min,R22次/min,BP114/84mmHg。意识模糊,嗜睡,全身散在水痘恢复期结痂皮疹。左眼及其周围高度红肿,不能睁开,左额颞部软组织明显充血肿胀,皮肤无破损,皮温高,无波动感,触痛明显。
Patients, male, 13 years old, 7 days due to herpes zoster fever 2d, unconsciousness 1d was admitted on February 12, 2005. The first 5 days after suffering from chickenpox fever, body temperature up to 40C, remission type, with left eye swelling, pain, blood WBC16.9 × 109 / L, N0.92. Has given levofloxacin, cefazolin, azithromycin, dexamethasone and other treatment, body temperature does not drop. The first 7 days of irritability, drowsiness, suspicion “Hemorrhagic fever with nephrotic syndrome,” transferred to our hospital. Admission examination: T39.2 ℃, P132 times / min, R22 times / min, BP114 / 84mmHg. Awareness, drowsiness, generalized scattered chicken pox recovery scab skin rash. The left eye and its surrounding highly inflamed, can not open, left frontotemporal soft tissue obvious congestion and swelling, no skin damage, high temperature, no fluctuation, tenderness significantly.