患者女,58岁,主因“间断发热15d”收住院。患者于入院前15d受凉后出现发热,每日体温升高1～2次,以下午及夜间为主,体温最高41℃,体温高时伴有全身多关节疼痛,感咽痛不适,不伴咳嗽、咳痰,在当地予以头孢类抗生素(具体不详)治疗后,症状无明显缓解。为求进一步诊治来我科。病程中患者神清,精神欠佳,食欲一般,二便如常,睡眠差,汗多,否认脱发、 Female patient, 58 years old, mainly due to “intermittent fever 15d ” admitted to hospital. Patients in the 15d before admission, fever, fever, daily body temperature increased 1 to 2 times in the afternoon and night-based, body temperature up to 41 ℃, high body temperature when accompanied by multi-joint pain, sore throat discomfort, without cough , Phlegm, cephalosporins antibiotics in the local (specific unknown) treatment, the symptoms were not significantly alleviated. For further diagnosis and treatment to our department. Patients in the course of disease God clear, poor health, general appetite, two will be normal, poor sleep, sweating, denying hair loss,