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张××,女,13岁。因发热、头痛、呕吐一个月入院。患儿于一个月前出现发热,呈不规则,波动在37～39℃间。伴头痛、呕吐,时轻时重。入院前四天开始嗜睡、轻咳、门诊以结脑收入院。该患儿半年前皮肤出现散在硬结,并逐渐出现中心部溃疡,以四肢和臀部较多。治疗三个月才结痴,诊断不明。其父母身体健康,否认结核病史。其保姆家中有类似皮肤病患者。体检:发育可,营养较
Zhang × ×, female, 13 years old. Due to fever, headache, vomiting a month hospitalization. Children in a month ago appeared fever, irregular, fluctuating between 37 ~ 39 ℃. With headache, vomiting, when light weight. Four days before admission began drowsiness, light cough, clinics to brain income hospital. Six months ago the child appeared scattered induration of the skin, and the gradual emergence of the central ulcer to the limbs and buttocks more. Treatment of three months only knot, the diagnosis is unknown. Their parents are in good health and have denied a history of tuberculosis. The nanny has a similar skin disease at home. Physical examination: development, nutrition more