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患者,男,20岁。因颈部包块一月余入院。患者于两月前解脓血便三天,在当地服药(药名不详)症状消失,自此每天下午低热,食欲不佳,乏力,逐渐消瘦。半月后,颈两侧各出现一小包块并逐渐增大,不疼痛,在当地诊断为“颈淋巴结核”。经抗痨和草药治疗无效。查:体温37.5℃,左下颌角处,右胸锁乳突肌后缘中部各有一6×8cm包块,局部皮肤稍红,柔软,有波动感,微痛。五官、心肺正常,肝于肋缘下3cm,边缘钝,压痛。血常规:血红蛋白100g/L,白细胞14.2×10~9/L,中性粒细胞80％,淋巴细胞20％。大便常规未发现阿米巴原虫。
Patient, male, 20 years old. More than one month due to neck mass admission. Patients with abscess bloody two months ago, three days in the local medication (drug name unknown) symptoms disappear, since every afternoon fever, poor appetite, fatigue, and gradually weight loss. Half a month later, a small mass appeared on both sides of the neck and gradually increased, no pain, diagnosed locally as “cervical lymph node tuberculosis.” Anti-tuberculosis and herbal treatment ineffective. Check: body temperature 37.5 ℃, the left mandibular angle, the right sternocleidomastoid margin of the middle of a 6 × 8cm mass, the local skin slightly red, soft, volatile, slight pain. Facial features, normal heart and lung, liver 3cm under the ribs, blunt edge, tenderness. Blood: hemoglobin 100g / L, white blood cells 14.2 × 10 ~ 9 / L, 80% of neutrophils, lymphocytes 20%. Stool routine no amoeba was found.