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女，24岁，劳累后畏寒、发热，头昏，精神差，食欲下降半月。于90年4月8日以发热待查、伤寒入院。查体：T40℃，P100次/分，R44次/分，贫血貌。双肺呼吸音粗糙，右下肺微浊，呼吸音低。心脏正常。肝肋下1cm，脾未扪及。双肾区叩痛。化验：Hb95g/L,WBC4.8×10~9/L，NO.72，嗜酸性细胞0。住院期间查B超：肝脾肿大，Hb78.4g/L，嗜酸性细胞0。胸片：双肺中下部肺纹理增多、模糊。肝功能：A37．8g/L，G37.4g／L，肾功能、心电图正常。用氯霉素2.0g/d等治疗后4天体温下降，至第7天正常，症状消失。贫血经输血后变缓解。入院10天后血培养报告
Female, 24 years old, after exertion chills, fever, dizziness, poor spirit, loss of appetite for half a month. On April 8, 90 with fever pending investigation, typhoid admission. Physical examination: T40 ℃, P100 beats / min, R44 beats / min, anemia appearance. Breathe sound rough lungs, right lower lung turbidity, low breath sounds. The heart is normal. Liver ribs 1cm, spleen not palpable. Kidney area percussion pain. Assay: Hb95g / L, WBC4.8 × 10 ~ 9 / L, NO.72, eosinophil 0. Check during hospitalization B: hepatosplenomegaly, Hb78.4g / L, eosinophil 0. Chest radiograph: lungs in the middle and lower lungs increased, blurred. Liver function: A37.8g / L, G37.4g / L, renal function, normal ECG. With chloramphenicol 2.0g / d and other treatment 4 days after the temperature dropped to normal on the 7th day, the symptoms disappeared. Anemia transfusion after remission. Blood culture report 10 days after admission