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副伤寒杆菌致化脓性胸膜炎及中毒性心肌炎临床罕见,现将我院收治的1例报告如下:男,23岁。因畏寒、高热40℃、胸痛、咳嗽3月于1989年11月25日入院。患者于1989年8月27日无明显原因发热、胸痛、干咳,当地医院诊断未明即用青霉素静滴(剂量不详)。10天后,体温虽降至正常,但感活动时心累,气促而拟诊为“风湿性心肌炎”,给予强的松治疗3月。11月25日再次发热38°~39℃,心累,气促加重转入我院。
Salmonella paratyphoid-induced suppurative pleurisy and toxic myocarditis are rare clinical cases now admitted to our hospital as follows: Male, 23 years old. Because of chills, fever 40 ℃, chest pain, cough March on November 25, 1989 admitted. Patients on August 27, 1989 no obvious cause of fever, chest pain, dry cough, local hospital diagnosis is not clear with penicillin intravenous infusion (unknown dose). 10 days later, although the body temperature dropped to normal, but when the activity of heart tired, shortness of breath and to be diagnosed as “rheumatic myocarditis”, giving prednisone treatment in March. November 25 fever 38 ° ~ 39 ℃ again, tired heart, shortness of breath to increase into our hospital.