一、病历摘要患者,男,29岁,主因“发热1月余”于2009年3月收入北京军区总医院血液科。患者1个月前无明显诱因发热,体温波动于37.3~40.0℃,伴头晕、乏力,偶有心慌、气短,在当地卫生所先后给予退热、抗炎等治疗无效,遂住院给予头孢唑啉、环丙沙星等对症治疗,体温仍不能有效控制,1 First, the medical records of patients, male, 29 years old, mainly due to “heat 1 month” in March 2009 income Beijing General Hospital Department of Hematology. The patient had no obvious predisposing fever for 1 month, and his body temperature fluctuates from 37.3 to 40.0°C with dizziness, fatigue, occasional palpitation and shortness of breath. He was given antipyretic and anti-inflammatory treatment at the local public health center. He was hospitalized for cefazolin. , ciprofloxacin and other symptomatic treatments, body temperature still can not be effectively controlled, 1