男性以腮腺炎首发的原发性干燥综合征1例
Medical Journal of National Defending Forces in Southwest China（2020）
Abstract
病例 男性,47岁,因“左侧腮腺肿痛伴发热15 d”入院.患者15 d前出现发热,无明显诱因,体温38.5℃,有畏寒,无寒战,伴有左侧腮腺肿痛,无咽痛,无咳嗽咳痰.于当地诊所输液治疗5d,体温正常,腮腺肿痛逐渐好转停药,4d前再次出现发热,偶咳嗽、口干,左侧腮腺肿痛加重,体温38.0℃.再于当地输液治疗,仍未见好转,收入我院.查体:体温37.7℃,双侧颈部无明显压痛,可触及与周围组织无粘连的散在肿大淋巴结,咽部充血,左侧腮腺压痛明显,以耳垂为中心弥漫性肿大,管口未见脓性分泌物;双侧扁桃体及甲状腺未触及肿大,心肺腹部查体无明显异常.
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