患者，男，36岁。5天前发热、咽疼，应用抗生素治疗无效。颈部浅表淋巴结肿大，咽部充血，扁桃体II度肿大，下肢少许瘀斑。WBC16.6X109/L，原始细胞0.60,Hb80g/L,PLT34x109/L。体检中应特别注意的体征是

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