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1病历摘要患者女,58岁,农场饲养员。双小腿起红斑、结节,伴发热、肌肉及关节疼痛半个月于2013年5月23日来我院就诊。患者半个月前无明显诱因双小腿起红斑、结节,压痛,伴发热、乏力、多汗、肌肉及关节疼痛,T 38~38.7℃,以午后及夜间为主。当地防疫站查布鲁菌病抗一人免疫球蛋白试验(Coomb)阳性,滴度1:400,诊断为“布鲁菌病”。因皮疹逐渐增多、肌肉关节疼痛加重,遂来我院诊治,疑为“结节性红斑?”。患者既往体健,否认药物过敏史,生活地区有布鲁菌病流行。
1 medical record Summary Female patient, 58 years old, farm breeder. Double leg erythema, nodules, fever, muscle and joint pain for half a month in May 23, 2013 came to our hospital. The patient had no obvious incentive for half a month before. The double calf had erythema, nodules, tenderness, fever, fatigue, hyperhidrosis, muscle and joint pain, T 38 ~ 38.7 ℃, mainly in the afternoon and evening. The local epidemic prevention station Chabrus disease anti-human immunoglobulin test (Coomb) positive, titer of 1: 400, diagnosed as “brucellosis.” As the rash gradually increased, muscle and joint pain increased, then came to our hospital for diagnosis and treatment, suspected “nodular erythema?”. Past physical health of patients, denied the history of drug allergies, brucellosis epidemic areas.