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病历摘要:男,53岁。患者于入院前20天患肛周(?)肿,用手挤破,后引起持续发热,时高时低,无规律性。在院外静滴红霉素、青霉素无效,而以“发热待查”入院。既往有高血压病史,无糖尿病史。体检:体温39.3℃,脉搏108次/分,呼吸22次/分,血压16/10kPa。精神差,全身皮肤未见皮疹及出血点,浅表淋巴结未扪及肿大。心肺正常,肝脾肋缘下均未触及,右踝关节红肿,肛周(?)肿已结痂。化验:WBC21.8×10~9/L,中性0.8,淋巴0.20,血沉90mm/第1小时,尿常规:蛋白(++),镜检脓细胞(++),红细胞少许。血糖10.2mmol/L 尿液分析:尿糖(++),150m
Medical record summary: Male, 53 years old. Patients suffering from perianal (?) Swollen 20 days before admission, squeezed by hand, causing persistent fever, high and low, no regularity. Erythromycin intravenous infusion in the hospital, penicillin invalid, but to “fever to be checked” admission. Past history of hypertension, no history of diabetes. Physical examination: body temperature 39.3 ℃, pulse 108 beats / min, breathing 22 beats / min, blood pressure 16 / 10kPa. Poor spirits, no skin rashes and bleeding, superficial lymph nodes palpable enlarged. Normal cardiopulmonary, liver and spleen are not touched under the rib margin, right ankle joint swelling, perianal (?) Swollen scab. Laboratory: WBC21.8 × 10 ~ 9 / L, neutral 0.8, lymph 0.20, erythrocyte sedimentation rate 90mm / 1 hour, urine routine: protein (++), Pus examination (++), a little red blood cells. Blood sugar 10.2mmol / L Urinalysis: Urine (++), 150m