报道一例男性15岁患者,因全身无力、低热、头痛、呕吐5天入院。患者表情淡漠,痛苦貌,双踝关节红肿,压痛,颈强直,双侧克氏征、巴氏征及布氏征均阳性。白细胞8,300,中性63%,淋巴37%,血沉75毫米,抗“O”1250单位,康华氏反应及血培养均阴性;脑脊液压力略高,无色透明,白细胞39个,氯化物126毫当量 A 15-year-old man was reported to have been hospitalized for 5 days due to general weakness, fever, headache and vomiting. Patients with indifferent, painful appearance, double ankle swelling, tenderness, neck stiffness, bilateral Kirschner’s disease, Papaniculate signs and Brut’s sign were positive. Leukocyte 8,300, neutral 63%, lymphatic 37%, erythrocyte sedimentation rate 75mm, anti “O” 1250 units, Corvanes reaction and blood culture were negative; cerebrospinal fluid pressure slightly higher, colorless and transparent, white blood cells 39, chloride 126 meq