患儿男,5岁,河南籍。无明显诱因发热入院。经抗生素、抗结核药治疗无效。体检:慢性消耗病容,每天下午及夜间发热,体温38～40℃,肝右肋下3cm,无压痛及腹水征。外周血Hb?g,RBC 220万,WBC10,910/mm~3,其中酸性粒细胞7％,单核细胞9％。GPT242u(金氏法)。血沉97mm/1小时。 B超检查:肝右肋下3.5cm,回声浓密,欠均匀。发热第2.5个月,肝右肋下4.5cm,左内叶及右前叶各有约1.5cm蜂窝状低回声区,壁参差不齐。肝 Children male, 5 years old, Henan membership. No obvious incentive to fever admission. Antibiotics, anti-TB drugs ineffective. Physical examination: Chronic consumption of sick, afternoon and night every day fever, body temperature 38 ~ 40 ℃, right hepatic ribs 3cm, no tenderness and ascites sign. Peripheral blood Hb? G, RBC 2.2 million, WBC10,910 / mm ~ 3, of which 7% of acidic granulocytes, monocytes 9%. GPT242u (King’s law). ESR 97mm / 1 hour. B-ultrasound: liver right rib 3.5cm, echo thick, less uniform. The first 2.5 months of fever, liver right rib 4.5cm, the left inner lobe and right anterior lobe about 1.5cm cellular hypoechoic, uneven wall. liver