近年来,随着抗生素的广泛应用,缺壁菌(L型细菌)败血症有增多趋势。此型细菌引起的败血症,中毒症状轻,病情反复性强,经久不愈,易导致误诊,以致延误治疗。近2年,我们先后收治2例,现报告如下。 例1,男,10岁。因反复发烧半年,加重5天入院。病儿近半年来,不明诱因的反复出现发烧,体温高达40℃,不伴寒战、抽风、多汗,亦无恶心、呕吐、腹泻、咳嗽气喘及尿频、尿急、尿痛现象,无骨及关节疼痛症状。病后精神尚好,食欲略差。经用青霉素、庆大霉素、地塞米松及退热剂治疗3—5天,体温降至正常,稳定后停止治疗。间隔12—15天再度出现发热,症状同上述。如此反复发热、反复治疗达半年之久。近5天来,再度出现发热,体温39.5—10℃,精神尚好,无咳嗽、气喘、 In recent years, with the widespread use of antibiotics, septicemia (L-type bacteria) sepsis have an increasing trend. Septicemia caused by this type of bacteria, poisoning symptoms are mild, repeated illness, prolonged unhealed, easily lead to misdiagnosis, resulting in delay in treatment. The past two years, we have treated 2 cases, are as follows. Example 1, male, 10 years old. Due to repeated fever for six months, increased 5 days admission. In the nearly six months since the onset of illness, there was a recurrence of fever with unknown causes. The body temperature was as high as 40 ° C without chills, exhalation, hyperhidrosis and no nausea, vomiting, diarrhea, cough and wheezing and urinary frequency, urgency and dysuria, Joint pain symptoms. After the illness is still good, slightly worse appetite. After treatment with penicillin, gentamicin, dexamethasone and antipyretics for 3-5 days, body temperature dropped to normal, stopped after treatment. An interval of 12-15 days again fever, the same symptoms. So repeated fever, repeated treatment up to six months. Nearly 5 days, re-emergence of fever, body temperature 39.5-10 ℃, the spirit is still good, no cough, asthma,