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患者 女性,23岁,农民,云南省富源县人。因持续发热6天,于1998年9月15日入院。患者6天前开始出现寒战、发热,体温39℃,伴头痛,四肢酸痛,在院外用青霉素治疗5天无好转,体温逐渐升高,最高达40℃。查体:T 39.8℃,P 90次/分。表情淡漠,意识迟钝,颜面潮红,结膜充血。颈软,胸腹部可见散在分布暗红色斑丘疹,直径约3～4mm。肝脾肋下1cm。胸部X线正位片检查无异常。B超示肝脾肿大。实验室检查:Hb 130g/L,WBC 6.7×10~9/L,N 0.69。肥达反应:“O”1:160,
Female patient, 23 years old, farmer, Fuyuan County, Yunnan Province. Due to persistent fever for 6 days, on September 15, 1998 admission. Patients began cholera 6 days ago, fever, body temperature 39 ℃, with headache, limb pain, with penicillin in the hospital for 5 days without improvement, body temperature gradually increased up to 40 ℃. Physical examination: T 39.8 ℃, P 90 beats / min. Indifferent expression, slow sense, facial flushing, conjunctival hyperemia. Neck soft, chest and abdomen visible scattered scattered red rash, diameter of about 3 ~ 4mm. Liver and spleen ribs 1cm. Chest X-ray anterograde check no abnormalities. B ultrasound shows hepatosplenomegaly. Laboratory tests: Hb 130g / L, WBC 6.7 × 10 ~ 9 / L, N 0.69. Widal response: “O” 1: 160,