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患儿:男,13岁,河南省洛宁县人。因低热盗汗8个月、头痛1周于1989年3月15日以结核性脑膜炎住院。1988年8月右腋下发现一鸡蛋大小肿块,质中等偏硬,表面光滑,肤色正常,不活动,压痛(一),体温波动在37-38.5℃,乏力、纳差、盗汗,无恶心呕吐,无皮肤及牙龈出血,经当地局部外敷中药肿块消失,但症状不减。入院前1周开始头痛,呈胀痛性质,平卧加重、坐立缓解。曾在洛阳市某医院按结核性脑膜炎、淋巴结核,抗痨达半年未能奏效。否认结核密切接触史,否认化学毒物接触史,入院查体:T38.0℃,慢性病容,皮肤无出血点,双颌下、腋下均可扪及黄豆至蚕豆大小淋巴结各2～4枚不
Children: male, 13 years old, Luoning County, Henan Province. 8 months due to fever stolen sweating, headache 1 week on March 15, 1989 with tuberculous meningitis hospitalization. August 1988 right axilla found a size of the egg mass, medium hard, smooth surface, normal skin tone, inactivity, tenderness (a), temperature fluctuations in the 37-38.5 ℃, fatigue, anorexia, night sweats, no nausea and vomiting , No skin and bleeding gums, local topical Chinese medicine disappeared, but the symptoms diminished. 1 week before admission, headache, pain and nature, supine increase, sit ease. In a hospital in Luoyang according to tuberculous meningitis, lymph node tuberculosis, anti-up to six months failed to work. Denied the close contact history of tuberculosis, denied the history of exposure to chemical poisons, admission examination: T38.0 ℃, chronic disease, no bleeding skin, double submandibular, underarm palpable and bean to broad bean lymph nodes 2 to 4 each