患者,女,34岁。入院前4个月在普鲁卡因局麻下行阑尾切除,术后立即持续寒战,2小时后体温高达41.2℃,皮肤瘙痒,出现皮疹,多关节疼痛,抗风湿、抗感染治疗3个月无效而入院。体查:体温38℃,躯干散在红色斑丘疹,全身浅表淋巴结均肿大,最大直径2.5cm,光滑、活动、无压痛。心肺无异常,脾肋下3.6cm,肝未触及。胸部X线:肺纹理增强。血红蛋白115g/L,白细胞7.7×10~9/L。 Patient, female, 34 years old. Four months prior to admission, appendectomy was performed with procaine local anesthesia. Immediate chills continued after 2 months, and body temperature reached 41.2 ° C after 2 hours. Skin pruritus, rash, multi-joint pain, antirheumatics and anti-infective therapy were invalid for 3 months And admission. Physical examination: body temperature 38 ℃, trunk scattered red rash, systemic superficial lymph nodes are swollen, the maximum diameter of 2.5cm, smooth, activity, no tenderness. No abnormal heart and lung, spleen ribs 3.6cm, the liver is not touched. Chest X-ray: Enhanced lung texture. Hemoglobin 115g / L, white blood cells 7.7 × 10 ~ 9 / L.