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患女,20岁,以发热月余,伴心悸、膝关节酸痛半月于1992年10月9日入院。 患者于9月2日起发热,持续中等度,偶有高热。无咳嗽、咯痰,无腹痛、腹泻。曾来本院就诊,拟“上呼吸道感染”予对症及复方新诺明治疗,症状无好转。9月24日出现心悸、膝关节酸痛,即到当地卫生院住院治疗。先后使用青霉素、庆大霉素和氯霉素,效果不佳。因诊断不明,转我院就治。既往健康,月经正常,家族史无特殊。 体检 体温38℃,脉搏120次/min,呼吸22次/min,血压14/8.5kPa,神志清。皮肤巩膜无黄染,皮肤无出血点、皮疹。浅表淋巴结不大。
Affected women, 20 years old, to fever more than a month, with heart palpitations, knee pain half moon on October 9, 1992 admission. The patient became feverish on September 2, with moderate and occasional high fever. No cough, expectoration, no abdominal pain, diarrhea. Had to our hospital, to be “upper respiratory tract infection” to symptomatic and cotrimoxazole treatment, no improvement in symptoms. September 24 palpitations, knee pain, that is, to the local hospital for treatment. Has used penicillin, gentamicin and chloramphenicol, ineffective. Because of unknown diagnosis, transfer to our hospital. Past health, normal menstruation, family history no special. Physical examination temperature 38 ℃, pulse 120 beats / min, breathing 22 times / min, blood pressure 14 / 8.5kPa, clear mind. Skin sclera no yellow dye, no bleeding spots, skin rashes. Superficial lymph nodes are not.