患者男性,16岁,学生。咳嗽七月,咯血,发现肺部包块四月。患者入院前七月因感冒、咳嗽、咯粘液痰,治疗无好转。入院前四月咳嗽加重并咳血痰,呈块状,量不多,当地胸片(图1)发现右肺门区结节状阴影,拟诊肺门淋巴结结核。给予抗痨治疗,治疗过程中曾出现高热、盗汗现象,病中食 Patient male, 16 years old, student. Coughing in July, hemoptysis, and lung masses were found in April. The patient had no improvement in treatment due to a cold, cough, or sputum mucus in July before admission. In the April before admission, the cough was worsened and the blood was coughed. It was massive and the amount was small. The local chest radiograph (Figure 1) found nodular shadows in the right hilum area and was intended to diagnose hilar lymph node tuberculosis. Given anti-tuberculosis treatment, high fever and night sweats appeared in the course of treatment, and the disease occurred during the treatment.