A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃...A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃. He had an enlarged left tonsil with prominent exudate; white blood cell count （WCC） 8.8×109/L; platelet count （Plt） 103 × 109/L; chest X-ray was normal in a medical clinic. Then the patient received an intravenous injection of 4 million units of penicillin G every 6 hours and 500 mg of oral azithromycin once daily. But his condition worsened with a temperature of 41℃ and laryngoscopy confirmed a marked left-sided peritonsillar abscess which was drained. On day 10, the patient was transferred to our hospital after developing persistent fever, rigors, left-sided neck pain, pain on swallowing and purulent bloody sputum.展开更多
文摘A54-year-old male smoker was admitted to our .hospital after undergoing the drainage of a leftperitonsillar abscess. Ten days prior to admission （day 1）, he complained of a ＂scratchy＂ throat with a fever of 38.5℃. He had an enlarged left tonsil with prominent exudate; white blood cell count （WCC） 8.8×109/L; platelet count （Plt） 103 × 109/L; chest X-ray was normal in a medical clinic. Then the patient received an intravenous injection of 4 million units of penicillin G every 6 hours and 500 mg of oral azithromycin once daily. But his condition worsened with a temperature of 41℃ and laryngoscopy confirmed a marked left-sided peritonsillar abscess which was drained. On day 10, the patient was transferred to our hospital after developing persistent fever, rigors, left-sided neck pain, pain on swallowing and purulent bloody sputum.
