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患者,男,64岁。因发热2月,伴左下腹轻微疼痛及轻咳入院。患者平素健康,无药物过敏史。发病以来食欲差。查体:急性热病容,精神差。体温39.8℃,嗜睡状,皮肤无黄染和出血点。双侧腹股沟有数个黄豆大小的淋巴结,活动,质软,无压痛。心肺未闻异常。腹平软,无压痛,肝脾未及。血红蛋白113g/L,白细胞120×10~9/L,多核76％,淋巴24％,血小板150×19~9/L。血沉80mm/小时。肝、肾功能正常。肥达氏反应阴性。癌胚抗原9.5ng/ml。免疫球蛋白IgG260Iu/ml,IgA204 Iu/ml,IgM157Iu/ml。血
Patient, male, 64 years old. Due to fever in February, with a slight pain in the left lower quadrant and light cough hospitalization. Patients usually healthy, no history of drug allergy. Poor appetite since onset. Physical examination: acute fever, poor spirit. Body temperature 39.8 ℃, drowsiness, no yellow skin and bleeding points. There are several bilateral inguinal size of the lymph nodes, activity, soft, no tenderness. Cardiopulmonary unknown abnormalities. Abdomen soft, no tenderness, liver and spleen not yet. Hemoglobin 113g / L, white blood cells 120 × 10 ~ 9 / L, multi-core 76%, lymph 24%, platelets 150 × 19 ~ 9 / L. ESR 80mm / hour. Liver, kidney function is normal. Widal reaction negative. Carcinoembryonic antigen 9.5 ng / ml. Immunoglobulin IgG260Iu / ml, IgA204Iu / ml, IgM157Iu / ml. blood