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1 临床资料 患者于1990年12月10日饮啤酒后感畏寒、发热,体温40℃,无咽痛、咳嗽及尿路刺激征、左颈浅淋巴结肿大约1 cm,胸透阴性,WBC 3.2×10~9/L,B超示轻度肝脾肿大。淋巴结活检为坏死性淋巴结炎。16日发生左侧自发性液气胸。患者在1990年6月曾患左侧自发性气胸,经治疗气胸吸收后出现发热,原因未明,约1周后自退。无传染病史,对青霉素和头孢霉素过敏。17日入院体检:T 38℃,P 90次/min,BP 14/8
1 clinical data in December 10, 1990 after drinking beer in patients with chills, fever, body temperature 40 ℃, no sore throat, cough and urinary tract irritation, left superficial lymph nodes about 1 cm, chest X-ray, WBC 3.2 × 10 ~ 9 / L, B ultrasound showed mild hepatosplenomegaly. Lymph node biopsy is necrotic lymphadenitis. On the 16th left spontaneous pneumothorax occurred. Patients in June 1990 had left spontaneous pneumothorax, after treatment of pneumothorax absorbed fever, unexplained, about 1 week after the retreat. No history of infectious disease, allergy to penicillin and cephalosporins. On the 17th admission examination: T 38 ℃, P 90 beats / min, BP 14/8