患者对性,76岁。因持续发热八个月于1990年3月31日入院。在他院按“败血症”治疗半年,体温降至37.5℃左右.好转出院,两月后体温再次升高收住我院。体检:T39℃,P102次/分,BP16/10.7Kpa。发热病容,全身浅表淋巴结无肿大,皮肤无皮疹及出血点,胸骨无压痛。双肺呼吸音粗,心率102次/分。腹平软,脾肋下1cm,中等硬,腹水征阴性。实验室检查:血红蛋白80g/L,红细胞2.8×10~12/L,白细胞4×10~9/L,中性分叶核73％.淋巴细胞22％.单核细胞3％,血小板4×10~12/L,血沉64mm/h,胸片示两肺感染性病变,骨髓涂片示感染骨髓象,B超示轻度脾肿 Patient sex, 76 years old. Eight months on for fever on March 31, 1990. In his hospital by “sepsis” for six months, body temperature dropped to about 37.5 ℃ .Removed to hospital, two months later, the body temperature rose again in our hospital. Physical examination: T39 ℃, P102 times / min, BP16 / 10.7Kpa. Fever, systemic superficial lymph nodes without swelling, skin rashes and bleeding points, sternum no tenderness. Breath sounds coarse lungs, heart rate 102 beats / min. Abdomen soft, spleen ribs 1cm, moderately hard, ascites sign negative. Laboratory tests: hemoglobin 80g / L, erythrocytes 2.8 × 10-12 / L, white blood cells 4 × 10 ~ 9 / L, neutral lobular 73%. Lymphocytes 22%. Monocytes 3%, platelets 4 × 10 ~ 12 / L, erythrocyte sedimentation rate 64mm / h, chest X-ray showed two lung lesions, bone marrow smear showed infected bone marrow, B ultrasound showed mild splenomegaly