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患者男,63岁。午后畏寒发热二周。体温38～39.8℃,无咽痛、鼻塞、咳嗽、咳痰,二便正常。胸片示右下肺炎,血白细胞总数3.0×10~9～5.0×10~9/L,中性0.42～0.60,淋巴0.58～0.40。尿常规蛋白(+),颗粒管型15～20/高倍视野。给予林可霉素、先锋霉素静注,发热未退,一月后复查胸片,右下炎症吸收好转,骨髓检查,红、粒、巨三系增生尚可,未见异常细胞。发热持续二月余,因胸闷、气急、恶心、嗜睡,体温持续39℃以上,1995年5月25日收入院治疗。查体:T39.6℃;P112次/分;R34次/分;BP20/9kPa发热病容,神萎,气促状,巩膜及全身皮肤黄染,全身浅表淋巴结
Male patient, 63 years old. Afternoon chills fever two weeks. Body temperature 38 ~ 39.8 ℃, no sore throat, stuffy nose, cough, expectoration, two will be normal. Chest X-ray showed right lower pneumonia, the total number of leukocytes 3.0 × 10 ~ 9 ~ 5.0 × 10 ~ 9 / L, neutral 0.42 ~ 0.60, lymph 0.58 ~ 0.40. Urine protein (+), particle tube 15 ~ 20 / high power field. Give lincomycin, cephalosporin intravenous injection, fever did not retreat, check the chest after January, lower right inflammation absorption improved, bone marrow examination, red, grain, giant three hyperplasia is still acceptable, no abnormal cells. Fever continued for more than two months, due to chest tightness, shortness of breath, nausea, drowsiness, body temperature continued above 39 ℃, May 25, 1995 income hospital treatment. Physical examination: T39.6 ℃; P112 beats / min; R34 beats / min; BP20 / 9kPa febrile illness, Shen Wei, shortness of breath, sclera and whole body skin yellow dye, systemic superficial lymph nodes