Present histol On examination( this hospital ). PE: T:38.0°C;P:107;BP:126/68mmHg; R:20 An ulcer at the hairline eft cervical lymphadenopathy with firm, tender, mobile nodes was present heard at the right upper sternal A systolic murmur (grade 2 /6)w Clinical Photographs border Specimens of blood and urine were sent for culture. Normal saline and broad-spectrum antibiotics were administered intravenously2 Present history : On examination（this hospital）： PE: T: 38.0°C; P:107; BP:126/68 mm Hg; R:20 An ulcer at the hairline Left cervical lymphadenopathy with Pirm, tender, mobile nodes was present. A systolic murmur (grade 2/6) was heard at the right upper sternal border. Specimens of blood and urine were sent for culture .Normal saline and broad-spectrum an6bio6cs were administered intravenously. Clinical Photographs