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患儿柳某,男,1岁3个月。因不规则发热、皮疹3个月,淋巴结肿大、肺部阴影2月余,以发热待查于1992年7月30日收住院。患儿于1992年4月20日,突然发热体温达39℃,同时皮肤出现淡红色斑丘疹,曾在某医院以麻疹、肺炎治疗,输青霉素、氨苄青霉素、红霉素、先锋霉素等治疗20天,仍有不规则发热、体温骤升骤降,皮疹高热时出现,有痒感,热退则隐匿,热退后患儿一般情况良好活动如常。5月9日拍胸片发现,肺门淋巴结肿大,右肺上叶阴影,经多种抗生素治疗无效。6月1日又出现颈部及下颌淋巴结肿大,6月27日作CT报告为支气管淋巴
Children Liu, male, 1 year old 3 months. Due to irregular fever, rash 3 months, lymphadenopathy, lung shadow more than 2 months to be investigated in fever on July 30, 1992 admitted to hospital. Children in April 20, 1992, a sudden fever body temperature of 39 ℃, while the skin appears pink rash, had a hospital with measles, pneumonia, penicillin, ampicillin, erythromycin, cephalosporins and other treatment 20 days, there are still irregular fever, sudden surge in body temperature, rash high fever, itching, hot retreat is hidden, hot children generally good as usual activities. May 9 beat chest film found that hilar lymph nodes, right upper lobe shadow, by a variety of antibiotic therapy ineffective. On June 1, neck and mandibular lymph nodes appeared again. On June 27, CT was reported as bronchial lymphatic