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女,11岁,1982年12月起不规则发热,伴有腰膝关节疼痛,逐渐面色苍白、无力。有时排尿困难并灼热感,大便秘结。血、尿常规,血沉、抗链激酶、胸片、骨盆平片,腰椎正侧位照片检查均正常,拟诊类风湿性关节炎,给青霉素、强的松、抗炎松及对症治疗,症状未缓解。1983年8月腰背部有一蚕豆大小肿物逐渐长大,上述症状亦随之加重。入院前5天突然高热,右下肢瘫痪,同年12月
Female, 11 years old, irregular fever since December 1982, with lumbar and knee joint pain, gradually pale, weakness. Sometimes dysuria and burning sensation, constipation. Blood, urine, ESR, anti-streptokinase, chest X-ray, pelvic plain film, lumbar positive lateral photo examination are normal, rheumatoid arthritis to be diagnosed, to penicillin, prednisone, anti-inflammatory and symptomatic treatment of symptomatic treatment Not relieved. 1983 August waist and back of a broad bean-sized tumors gradually grow, the above symptoms also will be aggravated. 5 days before admission sudden high fever, paralyzed right lower limbs, the same year in December