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1病例报告患者男,76岁。因反复发热、咳嗽6个月就诊。糖尿病病史20年。6个月前因受凉出现发热、咳嗽,体温37.5~38.8℃。在其他医院行PET-CT检查,未见明显阳性提示。诊断为非典型性结核和肺部感染,住院给予抗感染及利福平+吡嗪酰胺+异烟肼抗结核治疗3个月,体温恢复正常,但四肢乏力明显。实验室检查:血常规正常,血钾3.41mmol/L,钠130mmol/L,钙2.05mmol/L,血糖12.99mmol/L。以2型糖尿病、电解质紊
1 case report Male patient, 76 years old. Due to repeated fever, cough 6 months treatment. Diabetes history for 20 years. 6 months ago due to fever appeared fever, cough, body temperature 37.5 ~ 38.8 ℃. PET-CT examination in other hospitals, no significant positive tips. Diagnosis of atypical tuberculosis and lung infections, hospitalized with anti-infective and rifampicin + pyrazinamide + isoniazid anti-TB therapy for 3 months, body temperature returned to normal, but significant limb weakness. Laboratory tests: normal blood, serum potassium 3.41mmol / L, sodium 130mmol / L, calcium 2.05mmol / L, blood glucose 12.99mmol / L. With type 2 diabetes, electrolyte turbulence