论文部分内容阅读
1病历摘要患者男,40岁。因全身多发皮下结节伴疼痛1周于2012年5月19日来我院就诊。患者1周前无明显诱因右侧乳头部出现针刺样疼痛,未在意,继而左侧乳头部、背部、臀部、双下肢出现10余个皮下结节,周围红肿,部分皮损中央可见脓点,自觉轻度瘙痒、窜痛感,伴发热、头痛不适。无咳嗽、咳痰、腹痛、腹泻、恶心及呕吐等不适。追问病史,患者曾长期在南非多国出差,每次出差在南非居住数月,曾患过疟疾。1周前刚从南非回国。在当地居住环境恶劣,卫生条件较差。10d前其同事皮肤出现类似皮损,于当地医院治疗,具体诊断及治疗不详。患者在当地按“皮肤感染”治疗,皮疹继续发展。为求进一步诊治急来我院就诊。
1 medical record Summary Male patient, 40 years old. Due to systemic multiple subcutaneous nodules with pain 1 week in May 19, 2012 came to our hospital. Patients had no obvious incentive 1 week ago acupuncture-like pain on the right nipple, did not care, and then the left nipple, back, buttocks, lower extremities appear more than 10 subcutaneous nodules, around the swelling, some of the central lesion visible pus , Mild itching consciously, channeling pain, fever, headache discomfort. No cough, sputum, abdominal pain, diarrhea, nausea and vomiting and other discomfort. Asked history, patients have long been in South Africa on many business trips, each business trip in South Africa for several months, had had malaria. Just returned from South Africa a week ago. Poor living conditions in the area, poor sanitation. A similar skin lesion occurred to his colleague 10 days before treatment at a local hospital, with no specific diagnosis or treatment. Patients in the local press “skin infections ” treatment, the rash continues to develop. In order to further diagnosis and treatment urgently come to our hospital.