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患者男性,汉族,农民,因无明显诱因乏力,头痛,食欲下降,随之出现畏寒,发热21天,于1988年元月15日以伤寒?药物疹?血液系统疾病?收入我院传染科。体检:T37.6℃,急性病容,全身皮肤潮红,可见陈旧性红色丘疹融合成片。颈部、腋下、腹股沟可扪及黄豆或蚕豆大小之淋巴结,轻触痛,肝肋下2cm,脾左侧卧位肋下1cm扪及。右脚大(足母)指可见陈旧性伤口。化验:Hb90g/L,WBC13.7×10~9/L,中性中幼粒0.5％,中性晚幼粒0.5％,中性成熟粒48％,嗜酸粒6％,淋巴细胞24％,单核
Male, Han nationality, farmer, because there is no obvious incentive to fatigue, headache, loss of appetite, accompanied by chills, fever 21 days, in January 15, 1988 to typhoid fever? Drug rash? . Physical examination: T37.6 ℃, acute disease, systemic skin flushing, showing the integration of old red papules into pieces. Neck, underarm, groin palpable and the size of soybeans or beans lymph nodes, touch the pain, liver ribs 2cm, spleen left lateral ribs 1cm palpable. Large right foot (foot mother) refers to visible old wounds. Assay: Hb 90g / L, WBC 13.7 × 10 ~ 9 / L, neutral medium and small grains 0.5%, neutral late grains 0.5%, neutral mature grains 48%, eosinophils 6%, lymphocytes 24% Mononuclear