病史摘要患者男 ,35岁。于 2 0 0 0年 9月初出现发热 ,体温达 39.8℃ ,伴寒战、流涕 ,当地医院查血白分高而胸片无殊 ,对症处理 4～ 5ｄ后好转。 5ｄ后无明显诱因下又出现发热 ,休息后热退。 9月底再次出现发热 ,下午 37～ 38℃ ,晚上 39℃左右 ,夜间出汗后次晨热退。同时出现 The patient’s medical history is summarized as male, 35 years old. At the beginning of September 2000, a fever with a body temperature of 39.8°C was observed with chills and runny nose. Local hospitals had high blood-white counts and no chest radiographs. Symptomatic treatment improved after 4 to 5 days. After 5 days, there was no more obvious inducement of fever, and the heat retreat after rest. At the end of September, fever reappeared, 37-38°C in the afternoon and 39°C in the evening. Simultaneously