【病例】男，15岁。入院前1月开始咳嗽、乏力、盗汗、食欲减退。在当地医院诊断为肺结核，抗结核治疗20余天效果不佳，且出现两胁疼痛，故转我院。门诊查血常规：血红蛋白90g／L，白细胞3．3×109／L，中性粒细胞0．60，淋巴细胞0．40。血沉85mm／h。X线胸片示：两肺中内带点片 Case: Male, 15 years old. Cough, fatigue, night sweats, and loss of appetite began in January before admission. In the local hospital diagnosed as tuberculosis, anti-tuberculosis treatment for more than 20 days of poor results, and the emergence of two threatening pain, it turned to our hospital. Outpatient blood routine tests: hemoglobin 90 g/L, leukocytes 3.3 x 109/L, neutrophils 0.60, lymphocytes 0.40. ESR 85mm/h. X-ray shows: two lungs with a point in the film