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病例报告男性,32岁,工人。因反复发热半月于1990年10月27日入院。10月12日开始发病,无诱因突然体温39℃左右伴头痛,无恶心、呕吐及咳嗽等症状。曾在当地卫生所给予感冒药(其药名及量不详)口服,肌注青霉素针80万U,2次/d,7d后体温正常,头痛消失。10月23日无诱因又出现发热,上腹部不适,胀满。曾在本市某医院给予中药(其名及剂量不详)3剂,每天1剂,水煎服,服后效果不佳,故转入我院。体检:一般情况中等,体温39℃,脉搏108/min,血压16/10.7kPa(120/80mmHg)。全身皮肤粘膜无黄染、无皮疹。心肺无异常。腹平软,无压痛,肝脾未触及。未引出病理性神经反射。辅助检查:红细胞4.36×10~12/L,血红蛋白133g/L,
Case report Male, 32 years old, worker. Due to repeated fever half month in October 27, 1990 admission. October 12 onset, no incentive sudden temperature 39 ℃ with headache, no nausea, vomiting and cough and other symptoms. Once in the local health clinic to give cold medicine (the drug name and quantity unknown) oral, intramuscular penicillin 800000 U, 2 times / d, 7d after normal body temperature, headache disappeared. On October 23 there was no incentive and fever, abdominal discomfort, fullness. Had a hospital in the city to give traditional Chinese medicine (name and dose unknown) 3, 1 day, Shuijianbi, after serving ineffective, it transferred to our hospital. Physical examination: moderate general, body temperature 39 ℃, pulse 108 / min, blood pressure 16 / 10.7kPa (120 / 80mmHg). Whole body skin and mucous membrane without yellow dye, no rash. No abnormal heart and lung. Abdomen soft, no tenderness, liver and spleen not touched. Did not elicit pathological reflexes. Auxiliary examination: red blood cells 4.36 × 10 ~ 12 / L, hemoglobin 133g / L,