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患者,男,15岁,因反复发热6月入院。患者于6月前无明显诱因出现发热,最高体温39.8℃,于当地医院发现脾脏及全身多处淋巴结长大,EB病毒(EBV)DNA 6.15×106拷贝/mL,骨髓涂片:异常淋巴细胞0.4,转入我院小儿外科,行“脾脏切除,腹腔内淋巴结活检”术,术后活检诊断为传染性单核细胞增多症,给予更昔洛韦抗病毒治疗后,体温及血液学各项指标恢复正常后出院。入院前2月患者受凉后出现发热,最高体温40℃,伴咳嗽、咯少量黄色脓痰及全身
Patient, male, 15 years old, admitted to hospital on June due to repeated fever. Patients had no obvious predisposition to fever 6 months ago, the maximum temperature of 39.8 ℃, found in the local hospital spleen and multiple body lymph nodes growth, Epstein-Barr virus (EBV) DNA 6.15 × 106 copies / mL, bone marrow smear: abnormal lymphocytes 0.4 , Transferred to our hospital pediatric surgery, line “spleen resection, abdominal lymph node biopsy ” surgery, postoperative biopsy diagnosed as infectious mononucleosis syndrome, giving ganciclovir antiviral therapy, body temperature and hematology The indicators returned to normal after discharge. In February before admission, patients with fever after the cold, the maximum temperature of 40 ℃, with cough, slightly yellow purulent sputum and the whole body