患者梁某,男,44岁,农民。因发热后四肢软瘫10余天,于1964年8月9日入院。入院前一个月当地曾下暴雨,洪水泛滥,患者曾下河洗澡。八天后,突然发冷寒颤,持续高热,头痛,全身筋骨肌肉酸痛,尤以小腿及腰背部为甚。伴以恶心呕吐、衰弱无力及食欲不振。但无黄疸及出血,神志始终清醒。发热持续5—6日,经青霉素及链霉素治疗后恢复正常。入院前10余天(第一次热退后二周),发现双手活动不灵,持物费力,不能端饭碗,随之双下肢活动亦受限,迈步困难,走路无故跌倒。病程中无肢体麻木、疼痛,吞咽困难,声嘶和气促,大小便正常。平素健康。既往有冶游史,但否认性病史。 Liang Mou, male, 44 years old, farmer. Due to fever four limbs paralysis after more than 10 days, on August 9, 1964 admission. One month prior to admission, there were heavy rains and floods in the area. The patients took a bath next to the river. Eight days later, suddenly chills, persistent high fever, headache, muscle pain throughout the body, especially in the lower leg and lower back. With nausea and vomiting, weakness and loss of appetite. But no jaundice and bleeding, consciousness always awake. Fever continued 5-6 days after penicillin and streptomycin returned to normal after treatment. More than 10 days before admission (the first heat back two weeks), found that his hands are not working well, holding things hard, can not end their jobs, followed by activities of both lower extremities is also limited, difficult to move, walking without cause fall. No limb numbness in the course of the disease, pain, difficulty swallowing, hoarseness and shortness of breath, normal urine. Usually healthy. Previous history of travel, but denied sexual history.