1 病例报告患者男,18岁。因双踝关节肿胀、疼痛、活动受限7天,加重伴发热1天于2000—03—30入院。7天前无何诱因出现双踝关节肿痛,活动略受限,用“沈阳红药”治疗,症状未缓解,双踝关节肿痛加剧,伴发热,达38℃,全身不适,无咳嗽、咳痰、无胸闷、心悸,门诊以“风湿热”收入院。否认结核病史。查体:体温38℃,脉搏 1 case report Patient male, 18 years old. Due to swelling of both ankle joints, pain, activity limited 7 days, increased fever with 1 day admission in 2000-03-30. 7 days ago, no incentive causes double ankle joint swelling and pain, activities slightly limited, with “Shenyang red drug ” treatment, the symptoms did not alleviate, double ankle joint swelling increased, with fever, up to 38 ℃, malaise, no Cough, expectoration, no chest tightness, palpitations, outpatient to “rheumatic fever ” income hospital. Denied the history of tuberculosis. Physical examination: body temperature 38 ℃, pulse