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患者女,40岁,1988年4月中旬不明原因持续高热1周,肥达氏反应O 1:320、H1:320,用氯霉素治疗,体温正常2周后出院。于病程第40天复发,持续发热39～40℃,同时出现两下肢肌肉阵发性抽痛和关节痛,不能站立、行走,尿潴留,嗜睡。查体:体温39.8℃,脉膊118次,血压14.66/9.33kPa。双侧瞳孔等大等圆,光反射灵敏。颈部轻度抵抗。心肺听诊正常。髋关节和大腿肌肉压痛明显,两下肢肌力正常,肌张力亢进,双膝和跟腱反射减弱,克氏征阳性,巴氏征阴性,实验室检查:Hb91g/L,WBC 5×10~9/L,N82%,L18%,嗜酸细胞对绝计数“0”,血沉80mm
Female patient, 40 years old, mid-April 1988 Unpredictable high fever sustained for 1 week, Widal reaction O 1: 320, H1: 320, treated with chloramphenicol, normal body temperature 2 weeks after discharge. In the course of the first 40 days of recurrence, sustained fever 39 ~ 40 ℃, while two lower extremity muscles paroxysmal pain and joint pain, can not stand, walking, urinary retention, lethargy. Physical examination: body temperature 39.8 ℃, pulse 118 times, blood pressure 14.66 / 9.33kPa. Pupil and other large round, light sensitive sensitive. Neck slightly resistant. Cardiopulmonary auscultation normal. Hip and thigh muscle tenderness, normal muscle strength of both lower extremities, hypertonia, knees and Achilles tendon reflex, Krypton sign positive, Papanicolaou negative, laboratory tests: Hb91g / L, WBC 5 × 10 ~ 9 / L, N82%, L18%, absolute number of eosinophils “0”, ESR 80mm