A medical clerk with chills, fever, and neck mass

作     者：Arias, JR Sanders, S Adelman, HM 

作者机构：Univ S Florida Coll Med Dept Med Tampa FL 33612 USA 

出 版 物：《HOSPITAL PRACTICE》 (Hosp. Pract.)

年 卷 期：2000年第35卷第8期

页      面：22-24页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 10[医学] 

主　　题：抗菌药/治疗应用 菌血症/并发症 菌血症/诊断 菌血症/药物疗法 菌血症/微生物学 克林霉素/治疗应用 诊断 鉴别 梭杆菌感染/并发症 梭杆菌感染/诊断 梭杆菌感染/药物疗法 梭杆菌感染/微生物学 梭杆菌 坏死 颈静脉 磁共振成像 微生物敏感性试验 咽炎/并发症 咽炎/诊断 咽炎/药物疗法 咽炎/微生物学 血栓性静脉炎/诊断 血栓性静脉炎/微生物学 成年人 女(雌)性 人类 

摘      要：A 36-year-old woman presented with a three-day history of sore throat, cough productive of blood-tinged mucus, shaking chills, and temperatures as high as 40.5 degrees C. After taking acetaminophen, she was well enough to go to work the next day but continued to have a sore throat and cough. Feeling increasingly weak and tired, she saw her family physician,who prescribed a five-day course of azithromycin in addition to the acetaminophen. The following day, she vomited four or five times. The vomitus was yellow, with no visible blood. Her neck glands were swollen, and swallowing was so painful that she could only tolerate clear liquids. She had no history of HIV risk factors, tuberculosis, rash, arthralgias, abdominal pain, diarrhea, or urinary symptoms. Her last menses occurred one week prior to admission.