患儿 ,男 ,13岁。因高热、腹胀 3天 ,拟“发热待查”于1989年 10月 15日收住本院儿科 ,Ｂ超检查提示“肝脓疡”而转至本科。病程中最高体温 39 5℃ ,热型为弛张热 ,食欲差 ,乏力 ,恶心 ,无呕吐 ,无腹泻。查体 :体温 38℃ ,脉搏 98次 /分 ,呼吸 2 0次 /分。精神萎 ,巩膜、皮肤无 Children, male, 13 years old. Due to high fever and abdominal distention for 3 days, the “fever to be investigated” was admitted to the pediatric department of our hospital on October 15, 1989. The B-ultrasound examination indicated “liver abscess” and transferred to the undergraduate school. The highest temperature during the course of the disease is 39 5°C. The heat type is remittent fever, poor appetite, fatigue, nausea, no vomiting, and no diarrhea. Physical examination: body temperature 38°C, pulse 98 beats / min, breathing 20 beats / min. Mental wilt, sclera, skin without