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周××,男,15岁,学生,住院号:200086。因发冷发热两个半月,巩膜黄染15天于1982年5月10日21时急诊入院。入院前二个半月(2月25日)突然寒战、发热,体温39,关节肿胀、疼痛、活动受限,以风湿热收当地医院治疗,氢化可地松100mg/日,连用3天,口服阿司匹林,肌肉注射青霉素半个月,体温降低,关节肿痛好转。因胃痛呕吐停用阿司匹林,依据发疹诊断为变应性亚败血症,给地塞米松,10mg/日,数日后体温37上下,关节症状消失,皮疹消退。地塞米松逐渐减量,当减到3mg/日时又觉寒战,体温复升至39～40,衰竭无
Week × ×, male, 15 years old, student, hospital number: 200086. Due to chills and fever two and a half months, sclera yellow dye 15 days in May 10, 1982 at 21 o’clock emergency admission. Two and a half months before admission (February 25) a sudden chills, fever, body temperature 39, joint swelling, pain, limited mobility, rheumatic fever with local hospital treatment, hydrocortisone 100mg / day, once every 3 days, oral aspirin , Intramuscular injection of penicillin half a month, lower body temperature, joint swelling and pain improved. Suspension of aspirin due to stomachache and vomiting, diagnosis of allergic sub-sepsis on the basis of rash, to dexamethasone, 10 mg / day, a few days after the temperature 37 up and down, the joint symptoms disappear, the rash subsided. Dexamethasone gradually reduced, when reduced to 3mg / day and chills, body temperature rose to 39 ~ 40, failure no