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例一男,19岁,于1982年1月初持续发热,体温波动在39～40℃间,10余天后感左侧臀部疼痛,渐波及左下肢,致左腿屈曲不能伸直,多种抗生素治疗无效,于4月4日入我院。体检:体温39℃,消瘦,强迫体位,巩膜无黄染,颈、颌下各可扪及黄豆大淋巴结1个,质硬无触痛,肝肋下3cm,剑下5.5cm,脾肋下刚可扪及,均无触痛,左下肢肌肉明显萎缩,左股三角肿胀压痛,左髋关节屈曲受限。血常规、血沉、肝功等均正常,AKP57~u,LDH1500~u,γ-GT>200~u,
A male, 19 years old, sustained fever in early January 1982. The body temperature fluctuated between 39 and 40 ° C. After more than 10 days, he felt pain in the left buttocks, ascending to the left lower extremity, causing left leg flexion to not be straightened and multiple antibiotic treatments ineffective , On April 4 into our hospital. Physical examination: body temperature 39 ℃, weight loss, forced position, scleral no yellow dye, neck, submandibular palpable large soybean lymph nodes 1, hard no tenderness, liver rib 3cm, sword 5.5cm, Palpable, no tenderness, significant left lower extremity muscle atrophy, swelling of the left femoral triangle tenderness, left hip flexion limited. Blood routine, ESR, liver function are normal, AKP57 ~ u, LDH1500 ~ u, γ-GT> 200 ~ u,