病例摘要:男患,72岁,因发热7个月,右上腹疼20天于1991年9月20日入院。7个月前突然发冷、寒战、高热,体温达39℃,伴恶心与呕吐。高热1周后转为午后低热。在当地卫生院住院,拟诊为“急性肝炎”,经用辅酶Q_(10)、病毒唑等治疗,无效。出院后仍持续低热,间有寒战高热,近20天来高热不退,达38.5℃～41℃,伴持续性右上腹疼,有时轻咳,无咯痰、咯 Case Summary: A male patient, aged 72, was admitted to hospital on September 20, 1991 due to fever for 7 months and right upper quadrant pain for 20 days. 7 months ago suddenly chills, chills, fever, body temperature of 39 ℃, with nausea and vomiting. After a week of high fever to low heat afternoon. Hospitalized in a local hospital, to be diagnosed as “acute hepatitis”, the use of coenzyme Q_ (10), ribavirin and other treatment, is invalid. Low fever continued after discharge, with chills and fever, fever in the past 20 days, up to 38.5 ℃ ~ 41 ℃, with persistent right upper quadrant pain, sometimes light cough, no expectoration, slightly