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患者,男,34岁,湖北十堰人,农民。2012年7~10月曾在甘肃省甘南藏族自治州迭部县从事矿山管理工作。2013年3月初,无明显诱因下出现咳嗽、畏寒、发热,无咳痰,体温最高39.5℃。至当地乡镇卫生院就诊,给予对症、抗炎和抗感染治疗,症状无明显好转。3月25日,至十堰市太和医院就诊,以“间断发热1月余”收治入院。查体:剑突下有可
Patient, male, 34 years old, Shiyan, Hubei, farmer. From July to October 2012, he worked in the management of the mine in Diebu County, Gannan Tibetan Autonomous Prefecture, Gansu Province. Early March 2013, no obvious incentive to cough, chills, fever, no expectoration, the highest temperature 39.5 ℃. To the local township hospitals for treatment, symptomatic, anti-inflammatory and anti-infective treatment, no significant improvement in symptoms. March 25, to Shiyan City, Taihe Hospital, “” intermittent fever more than 1 month admitted to hospital. Physical examination: xiphoid can be