患者女,17岁,农民,因“发热伴心慌、气短、乏力10天”为主诉入院,10天前无明显原因出现发热,体温达38℃,无咽痛及咳嗽,且渐出现气短、胸闷、乏力、活动后为著,在当地医院查心电图示:“窦速,心肌供血不足。”B超显示:肝、胆、脾正常,按“心肌炎”治疗3天,体温不退,症状进行性加重,即转我院治疗。否认有痢疾病史,查体温38.4℃,脉搏103次/分,呼吸20次/分,血压15/7.9kPa,急性病容,皮肤粘膜无黄染,咽稍 Female, 17 years old, farmer, due to “Fever with palpitation, shortness of breath, fatigue 10 days ” as the main complaint of admission, 10 days ago no obvious reason fever, body temperature up to 38 ℃, no sore throat and cough, , Chest tightness, weakness, after the activity for the check in the local hospital ECG: “sinus speed, myocardial insufficiency. ” B-ultrasound shows: liver, gallbladder, spleen normal, press “myocarditis ” treatment for 3 days, No refund, progressive worsening of symptoms, that is transferred to our hospital for treatment. Denied a history of dysentery, check the body temperature 38.4 ℃, pulse 103 beats / min, breathing 20 beats / min, blood pressure 15 / 7.9kPa, acute disease, no yellow skin and mucous membranes, pharynx