患者　男 ,38岁 ,因反复发热、咳嗽、左胸痛伴四肢关节酸痛 2个月 ,于 2 0 0 3年 8月 30日入院。入院前 2个月 ,患者出现发热 ,体温 38℃ ,数日后体温下降 ,后又升高为 38.5～39℃ ,且夜间体温较高 ,盗汗 ,伴咳嗽、气促、左胸痛 ,痰不多 ,无咯血。X线片示右肺门淋巴结略大 ,肺 Male, 38 years old, was admitted to hospital on August 30, 2003 due to repeated fever, cough, left chest pain with limb aches and pains for 2 months. Two months before admission, the patient developed fever, body temperature 38 ℃, a few days after the temperature dropped, and then increased to 38.5 ~ 39 ℃, and nighttime high temperature, night sweats, with cough, shortness of breath, left chest pain, phlegm, No hemoptysis. X-ray showed slightly right hilar lymph nodes, lungs