病史摘要患儿,男,5岁。因“间断发热5d”入院。患儿入院前5d无明显诱因发热,T38.8℃,无咳、喘及吐、泻,在当地医院予“头孢三嗪、地塞米松”等治疗3d,仍有发热。患儿既往体健,疫苗无漏种,否认结核接触史。家族史无特殊。入院查体:T38.0℃,精神可,发育正常,营养中等,全身无皮疹 Summary of medical history Children, male, 5 years old. Due to “intermittent fever 5d” admission. 5d before admission, no obvious incentive for fever, T38.8 ℃, no cough, asthma and vomiting, diarrhea, in the local hospital for “ceftriaxone, dexamethasone” and other treatment 3d, still fever. Past physical health of children, vaccines without leakage, denied a history of contact with tuberculosis. No special family history. Admission examination: T38.0 ℃, spiritual, normal development, moderate nutrition, systemic rash