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病例:男,27岁。两个多月前开始寒战、发热(体温40℃左右),呈弛张热型,伴多汗,全身关节痛、疲乏。在当地按重感冒治疗半月无效,又按布氏杆苗病治疗近一个月仍无效,转牡丹江医学院附属医院。问得牧羊史,布氏杆菌凝集试验(瑞特试管法)凝集价1:200阳性,诊断为布氏杆菌病。此时出现咳嗽、意识障碍、谵语,X线胸片见双肺有均匀分布的粟粒样结节,故以血
Case: Male, 27 years old. More than two months ago, chills, fever (body temperature about 40 ℃), was heat-relaxation type, with hyperhidrosis, body joint pain, fatigue. Severe cold in the local treatment of a half months is invalid, but according to treatment of brucellosis seedling disease is still invalid for nearly a month, turn Mudanjiang Medical College Hospital. Asked the shepherd history, brucellosis agglutination test (Reiter test tube method) agglutination price of 1: 200 positive diagnosis of brucellosis. At this point there cough, disturbance of consciousness, bravery, chest X-ray see evenly distributed in the lung miliary nodules, so the blood