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1病例报告患者男,39岁。因反复发热,咳嗽、咳痰伴颈部淋巴结肿大就诊,诊断为肺结核,接受抗结核治疗1个月后自行停药。现因反复发热(最高39.6℃),咳嗽、咳痰加重,肛周大面积溃疡再次就诊。专科查体:以肛门为中心见一类圆形溃疡面,约20cm×25cm,边界清楚,边缘皮肤呈灰黑色,基底部可见新鲜肉芽,无覆苔,可见少量分泌物。血液检查C反应蛋白106.84mg/L、血沉80mm/h,余无明显异常。胸部CT示双肺
1 case report Patient male, 39 years old. Due to repeated fever, cough, sputum with cervical lymph node enlargement diagnosis, diagnosis of tuberculosis, receiving anti-TB treatment after 1 month of withdrawal on their own. Are due to repeated fever (up to 39.6 ℃), cough, sputum aggravating, large perianal ulcers again treatment. Expert examination: anus as the center to see a class of round ulcers, about 20cm × 25cm, the border is clear, the edge of the skin was gray-black, fresh granulation can be seen at the base of the Ministry, no moss, showing a small amount of secretions. Blood test C reactive protein 106.84mg / L, erythrocyte sedimentation rate 80mm / h, I was no obvious abnormalities. Chest CT showed double lungs