患者男,24岁。因反复发热、盗汗、乏力、纳差4个月,左上腹疼痛1周于1992年8月入院。病程中多为午后发热,自测体温38—39℃,伴有盗汗。曾在多家医院诊治。拟诊结核病,但始终未查找到病灶,试行利福定、吡嗪酰胺、异烟肼等抗痨治疗,体温下降但乏力、盗汗无明显改善,因出现上腹部疼痛由外院转我院。查体:心肺(-);肝肋下未及,肝区无叩痛,左上腹压痛,无反跳痛、脾肋下2.Ocm,质较硬,叩痛(+)。胸片无任何结核征象,脊柱片无结核 Patient male, 24 years old. Due to repeated fever, night sweats, fatigue, anorexia for 4 months, 1 week left upper quadrant pain in August 1992 admitted. During the course of the afternoon fever, self-test temperature 38-39 ℃, accompanied by night sweats. In a number of hospital treatment. The diagnosis of tuberculosis, but has not been found lesions, trial Rifadin, pyrazinamide, isoniazid and other anti-tuberculosis treatment, body temperature decreased but weakness, night sweats no significant improvement, due to the emergence of upper abdominal pain from outside the hospital transferred to our hospital. Physical examination: cardiopulmonary (-); liver under the ribs and not, no percussion pain in the liver area, left upper quadrant tenderness, no rebound tenderness, Spleen ribs 2.Ocm, hard quality, percussion pain (+). No signs of tuberculosis chest X-ray, spinal tuberculosis without tuberculosis