患儿男,5岁。入院前半年有午后低热、盗汗、近2个月来无明显诱因出现声音嘶哑,伴咳嗽、咯痰,曾在当地医院按支气管炎治疗未见效,且声音嘶哑逐渐加重,仍有低热,伴疲乏、消瘦,于1985年2月9日入院。否认结核接触史,未接种过卡介苗。查体:T38℃,体重12kg。神志清楚,营养不良外观。心、肺、肝、脾均无特殊发现。颈部稍有抵抗。脑膜 Children male, 5 years old. In the first half of admission, there was an afternoon afternoon fever and night sweats. There was no obvious incentive in the past 2 months to have hoarseness, cough and phlegm. At the local hospital, bronchitis treatment did not work, and hoarseness gradually increased. There was still fever and fatigue , Weight loss, in February 9, 1985 admission. Denied the history of tuberculosis contact, not vaccinated BCG. Physical examination: T38 ℃, weight 12kg. Conscious, malnourished appearance. Heart, lung, liver, spleen were no special findings. Neck slightly resistant. Meningeal