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病历摘要患者,男,14岁,住院号38586,因发烧、全身疼痛4天于1982年4月12日入院。患者入院前4天无明显诱因突然发病,自感周身不适,疼痛、发烧,翌日全身出现大小不等的丘疹、搔痒,经当地卫生所治疗(药名不详),丘疹消失,但搔痒无好转,肢体红肿,肌肉、关节剧烈疼痛,不能行走而来我院以急性淋巴结炎入院。既往健康,发病前无服药史及传染病接触史。查体:体温38.5℃,脉搏120,血压90/70,意识清,抬入病房,急性病容,烦躁不安,全身皮肤紫红,有抓痕及血痂,肌肉肿胀,双侧腹股沟淋巴结肿大如蚕
Patient summary, male, 14 years old, hospitalization number 38586, admitted to hospital on April 12, 1982 due to fever and generalized pain for 4 days. 4 days before admission, there was no obvious cause of sudden onset of illness, self-inductance whole body discomfort, pain, fever, the size of the body the next day appear papules, itching, the local health clinic (unknown drug name), the pimples disappear, Limb swelling, muscle, severe joint pain, can not walk to our hospital with acute lymphadenitis admission. Past health, history of non-medication before onset and exposure history of infectious diseases. Examination: body temperature 38.5 ℃, pulse 120, blood pressure 90/70, consciousness, into the ward, acute disease, irritability, systemic skin purple, scratches and blood scab, muscle swelling, bilateral inguinal lymph nodes such as silkworm