患儿,男,10岁.因低热,厌食,思睡,头痛,偶伴非喷射性呕吐1月余,加重伴高热4天,疑败血症入院.自幼全身湿疹,头面部甚,头皮易长疖疮、脓疱.右耳反复溢脓1年余.家中无养鸽史.体检:慢性重病容,神萎思睡,神清欠合作,皮肤巩膜无黄梁,右外耳道有脓迹,头颈面皮肤有湿疹样皮疹.体温39℃,心肺检查未见异常.腹软,肝肋下4cm,剑下5cm,脾肋下3cm,质 Children, male, 10 years old. Due to fever, anorexia, slumbering, headache, accompanied by non-jet-induced vomiting more than 1 month, aggravated with fever for 4 days, suspected of sepsis admitted to hospital. Scabies, pustules. Repeated over the right ear pus more than 1 year. No history of raising pigeons in the family. Physical examination: chronic severe disease, Shenshui sleep, God owed cooperation, skin sclera without beam, abscess right ear canal, head and neck Skin eczema-like rash body temperature 39 ℃, no abnormal heart and lung examination. Abdominal soft, liver ribs 4cm, 5cm under the sword, Spleen ribs 3cm, quality