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患者,男,28岁.1997年4月20日无诱因出现咽痛、咳嗽、发热、乏力、多汗,体温最高达38.8℃,经按“上呼吸道感染”治疗10余天,体温恢复正常,但仍感乏力、软弱.1周后再次出现发热,且伴大关节游走性疼痛,无腹痛、腹泻、头痛、腰痛等,在卫生院按“风湿性关节炎”治疗16天,症状无明显好转,且出现右侧睾丸肿痛,收治入院.入院时查体:T 38.5℃,P 103次/分,R 24次/分,Bp 16/10kPa,急性面容,皮肤、粘膜未见瘀点、瘀斑及皮疹,球结膜轻度充血,巩膜不黄,咽红,扁桃体不大,颈软,颌下及颈部
Patients, male, 28. April 20, 1997 induced no sore throat, cough, fever, fatigue, sweating, body temperature up to 38.8 ℃, according to “upper respiratory tract infection” for more than 10 days, the body temperature returned to normal, Still feel weakness, weakness .1 week after the fever again, and associated with the large joint pain, no abdominal pain, diarrhea, headache, back pain, etc., by the “rheumatoid arthritis” in the hospital for 16 days, no significant improvement in symptoms , And the right testicular swelling and pain, admission admitted to hospital admission examination: T 38.5 ℃, P 103 beats / min, R 24 beats / min, Bp 16 / 10kPa, acute face, skin, mucosa no petechia, stasis Spot and rash, conjunctival mild hyperemia, sclera not yellow, throat red, tonsil, neck soft, submandibular and neck