一、临床资料患者,男,35岁,歼-8飞行员,总飞行时间2000h。因发热4d于2003年2月8日入院。患者入院前4d无明显诱因出现发热,体温在39℃以上,最高达40·2℃,不伴有咳嗽、咯血,无流涕、鼻塞,无胸闷、无呼吸困难,伴有头痛,眼眶痛,腰痛,肌肉酸痛,周身乏力,在当地静滴青霉素2d无效,入 First, the clinical data Patients, male, 35 years old, J-8 pilots, the total flight time 2000h. Due to fever 4d on February 8, 2003 admission. 4 days before admission, no obvious incentive for fever, body temperature above 39 ℃, up to 40 · 2 ℃, without cough, hemoptysis, no runny nose, stuffy nose, no chest tightness, no breathing difficulties, accompanied by headache, orbital pain, Back pain, muscle soreness, whole body fatigue, in the local intravenous infusion of penicillin 2d invalid