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2010年5月某日下午,锡盟地方病防治中心布病门诊一患者前来就诊,患者自述被昆虫叮咬,持续高热(体温39.3℃)已5 d,曾服用甲硝唑和其他消炎、退烧药物均无效,经门诊医生检查:体温39.7℃、脉搏120～140次/min、剧烈咳嗽。体征:神志清楚、面部略微潮红、呼吸均匀、眼结膜充血、皮肤无出血点、肝脾不肿大、身体有多处皮疹,基部隆起发红,未见化脓破溃,触痛、患者无被迫体位、背部被叮咬部位红肿,面积3 cm×3 cm局部隆起,表面有一突出溃疡面并结痂、全身淋巴结未见明显肿大,10 d前外出,先后到过东乌旗沙麦、锡市,有野外活动史。
In May 2010, on the afternoon of May, one patient came to the clinic for brucellosis at Xilu Endemic Disease Prevention and Treatment Center. Patient readme was inseminated and sustained high fever (body temperature 39.3 ℃) for 5 days. He took metronidazole and other anti-inflammatory and antipyretic drugs Are invalid, the clinic doctor: body temperature 39.7 ℃, pulse 120 ~ 140 times / min, severe cough. Signs: Consciousness, face slightly flush, breathing evenly, conjunctival hyperemia, no bleeding spots, liver and spleen not swollen, the body has multiple rashes, base uplift red, no purulent ulceration, tenderness, patients were not Forced body position, the back was bites red and swollen, an area of 3 cm × 3 cm local uplift, the surface has a prominent ulcers and scabs, no significant lymph node enlargement, 10 d before going out, has been to Dongwuqi Shamai, tin City, a history of outdoor activities.