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病历摘要女性,34岁,农民。于入院前40多天无明显诱因开始发烧,每日午后体温增高,傍晚达高峰,清晨及上午体温正常,呈弛张热,体温最高时可达41℃,伴有畏寒,无寒战。曾在当地医院注射“青霉素G”等治疗无效,7天后全身皮肤出现皮疹,且反复发作。患者发烧时感全身酸痛,但食欲尚好,体重无减低,10天后因伴有双膝关节肿痛住院于当地县医院,按“风湿
Summary of medical records Female, 34 years old, farmer. More than 40 days before admission no obvious incentive to start a fever, daily afternoon body temperature increased, peaked early in the evening, morning and morning temperature was normal, was remittent fever, the body temperature up to 41 ℃, with chills, no chills. Had in the local hospital injection of “penicillin G” and other treatments ineffective, 7 days after the skin rash appeared, and recurrent. Patients with fever when the body aches, but the appetite is still good, no weight loss, 10 days after the double knees with pain hospitalized in the local county hospital, according to "rheumatism