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患者女,35岁,因腹疼、脓血便一年,发烧半年,双下肢关节肿痛一周入院。患者一年来,间断脓随便10次/日,拟诊“肠结核”治疗无好转。近半年常有低烧。半月前针刺部位出现感染。入院前一周双下肢关节胀疼。一年来口腔粘膜常出现小溃疡。体检:T37.8℃,右侧舌缘及口腔粘膜有两个直径约2mm 小溃疡。右上腹及左下腹压痛(+),双踝关节肿胀,有压痛。RBC 2.9×10~(12)/L,Hb78g/L,大便检查:RBC卅,WBC+,潜血卅。大便细菌培养三次均(一)。
Female patient, 35 years old, due to abdominal pain, pus and blood will have a year, fever for six months, double joint swelling and pain in one week hospitalization. Patient over the past year, intermittent purulent random 10 times / day, to be diagnosed “intestinal tuberculosis ” no improvement in treatment. Nearly six months often have low-grade fever. Acupuncture site infection occurred half a month ago. One week before admission, lower extremity joint pain. Oral mucosa over the past year often small ulcers. Physical examination: T37.8 ℃, the right tongue and oral mucosa have two small ulcers about 2mm in diameter. Right upper quadrant and left lower quadrant tenderness (+), double ankle joint swelling, tenderness. RBC 2.9 × 10 ~ (12) / L, Hb78g / L, stool examination: RBC 卅, WBC +, occult blood 卅. Stool bacteria were cultured three times (a).