患者女，２２岁，因乏力、纳差、尿黄两周，肤目黄４天入院。患者两周前无明显原因出现发热，测体温３９℃，伴有头昏、乏力，食纳下降为正常时的１／３，厌油恶心及呕吐，为胃内容物日２～６次，尿黄如茶，大便正常，经服用感冒通及螺旋霉素三天体温降至正常。入院前４天发现 Female patient, 22 years old, due to fatigue, anorexia, urinary yellow two weeks, yellow skin 4 days admission. Two weeks ago, there was no obvious cause of fever, the body temperature 39 ℃, accompanied by dizziness, fatigue, decreased appetite normal when 1/3, anorexia and nausea and vomiting, stomach content 2 to 6 times a day, urine Yellow tea, normal stool, after taking colds and spiramycin three days body temperature dropped to normal. Found 4 days before admission