患者林××,男性,28岁,农民。因全身皮疹,原因不明,高热11天于1992年7月11日入院。患者于7月1日在林区劳动时不慎双耳被昆虫叮咬,当即感双耳被叮咬处轻微疼痛、搔痒,很快双耳廓出现红肿,灼热感;同时颈部及前胸皮肤发红,发热及少许粟粒大小的红色小丘疹。三天后出现持续性高热,体温在38 Lin × ×, male, 28 years old, farmer. Due to systemic rash, the cause is unknown, fever 11 days in July 11, 1992 admission. Patients in the forest on July 1 when working inadvertently ears were insect bites, immediately feel the ears were bitten at the Ministry of minor pain, itching, and soon the double pinna appear inflamed, burning sensation; the same time, neck and chest hair Red, fever and a little miliary red papules. After three days of persistent high fever, body temperature at 38