患者男,18岁,体重70 kg,既往体健,因“咳嗽、咽痛伴畏寒、发热4 d”为主诉于2015年1月25日就诊。既往史无特殊,无药物、食物过敏史。入院体检:T 40.2℃,P 82次/min,R 20次/min,BP 112/60 mm Hg。神志清楚,对答切题。口唇红润,伸舌居中,口腔黏膜无异常,双侧扁桃体Ⅱ度肿大,表面可见散在脓点,见白色分泌物,咽部后壁充血水肿,见淋巴滤泡,咽反射正常,余未见明显异常。血常规:WBC 14.99×109·L-1,N 76.4%,Hb 141 g·L-1,Plt 231×109·L-1;C反应蛋 Male patient, 18 years old, weighing 70 kg, previous physical health, due to “cough, sore throat with chills, fever 4 d ” chief complaint on January 25, 2015 treatment. No previous history, no drugs, food allergies. Admission physical examination: T 40.2 ℃, P 82 times / min, R 20 times / min, BP 112/60 mm Hg. Consciousness, answers to questions. Lip rosy, middle tongue, no abnormal oral mucosa, bilateral tonsil enlargement, the surface can be seen scattered pus, see white secretions, throat wall congestion and edema, see the lymph follicles, pharyngeal reflex normal, I did not see Obvious abnormalities. Blood routine: WBC 14.99 × 109 · L-1, N 76.4%, Hb 141 g · L-1, Plt 231 × 109 · L-1; C-reactive protein