1病例报告患者,男,49岁,农民,因发现颈部包块11个月,伴反复发热于2004年11月30日入院。11个月前患者发现双侧颈部包块如黄豆大小数枚,有压痛,进行性增多、增大,并反复发热,可高至39.5℃,无畏寒、盗汗、咳嗽、胸闷等,逐渐出现头部暗红色皮疹,不痒,在当地医院诊为“淋巴结炎”,先 A case report of patients, male, 49 years old, farmer, because of found neck mass 11 months, with recurrent fever on November 30, 2004 admission. 11 months ago, patients with bilateral neck mass, such as the size of several pieces of soybeans, tenderness, progressive increase, increase, and repeated fever, up to 39.5 ℃, no chills, night sweats, cough, chest tightness, etc., gradually emerged Head dark red rash, itch, at the local hospital as “lymphadenitis”, first