病例摘要患者男，１７岁，中学生。野外游泳呛水６小时后寒战、高热伴咳嗽咳痰、胸闷、呼吸困难２０天，于１９９５年８月５日由县医院转入。既往乏力、盗汗、消瘦１年。体检：体温３９８℃，形体消瘦，贫血外貌。左侧颈部触及多个肿大淋巴结，约１～２ｃｍ大小，质软、... Case Summary Male patient, 17 years old, middle school student. Wild swimming choked water 6 hours after the chills, fever with cough and sputum, chest tightness, difficulty breathing for 20 days, on August 5, 1995 transferred from the county hospital. Past fatigue, night sweats, weight loss for 1 year. Physical examination: body temperature 39  8 ℃, body weight loss, anemia appearance. The left neck touches multiple enlarged lymph nodes, about 1 ~ 2cm in size, soft, ...