患者男性,65岁,左侧咽痛3天。体检:T37.2℃,左扁桃体上极覆灰白色假膜,拭去后有溃疡,少量出血。左下颌角淋巴结肿大,压痛。最可能的诊断是A.猩红...

作者: rantiku 人气: - 评论: 0
问题 患者男性,65岁,左侧咽痛3天。体检:T37.2℃,左扁桃体上极覆灰白色假膜,拭去后有溃疡,少量出血。左下颌角淋巴结肿大,压痛。 最可能的诊断是
选项 A.猩红热性咽炎 B.樊尚咽峡炎 C.化脓性扁桃体炎 D.单核细胞增多症性咽峡炎 E.咽白喉
答案 B
解析 樊尚咽峡炎与其他几种咽部炎症特征性的区别在于,单侧发病,可延伸至牙龈,全身症状轻,咽部病损为假膜覆盖的溃疡,周围黏膜充血分泌物涂片镜检查见樊尚螺旋体或厌氧梭形杆菌可确诊樊尚咽峡炎

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