病历摘要女患,30岁,工人。因发热,颈部肿块50天于1992年8月20日首次入院。患者自1992年7月起无诱因地发热,呈弛张热型(37.8℃～40.1℃),热起怕冷,伴咽喉痛、全身关节痠痛,并发现颈部两枚痛性肿块,大如蚕豆。病后20天皮肤出现丘疹、斑丘疹,持续3～5天消退。外院先后用青、氯、氯哌嗪、先锋必素控制感染,发热如故,试以异烟肼、利福平、链霉素抗结核治疗10天。颈部肿块无缩小,作肿块病理活检送外地会诊。病程中间断用地塞米松, Female medical record summary, 30 years old, worker. Due to fever, neck mass 50 days in August 20, 1992 the first admission. Since July 1992, the patient was fever-free and showed a relaxation type (37.8 ° C ~ 40.1 ° C), hot cold, with sore throat and sore joints and two painful masses in the neck. broad bean. 20 days after the onset of skin pimples, rash, lasting 3 to 5 days subsided. The hospital has a green, chlorine, piperazine, vanguard control infection, fever as before, try to isoniazid, rifampicin, streptomycin anti-TB treatment for 10 days. No shrinkage of the neck mass, biopsy mass sent to the consultation. Intermittent disease with dexamethasone,