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男性患者,40岁,农民。因高热、腹泻7天,腹痛2天于1995年10月20日入院。患者于7天前自觉全身不适,乏力,发热,体温逐渐升高达39℃,在本村卫生室按“上感”治疗,给予口服“速效感冒丸”、“安乃近”,肌肉注射“青霉素”和对症处理,症状无改善,且逐渐加重,体温持续在39℃以上,并出现腹泻,大便每日2～3次,为黄色稀水样便,无里急后重。2天前感腹胀,右下腹部疼痛,但无恶心呕吐。疑“急性阑尾炎”收住入院。既往身体健康,家族无传染病接触史,未接受过伤寒菌苗和肝炎、出血热等疫苗注射。
Male patient, 40 years old, farmer. 7 days due to high fever, diarrhea, abdominal pain for 2 days in hospital on October 20, 1995. Patients were conscious of general malaise 7 days ago, fatigue, fever, body temperature gradually increased up to 39 ℃, in the village clinic by the “flu” treatment, given oral “quick cold pill”, “analotism”, intramuscular injection of “penicillin” And symptomatic treatment, no improvement in symptoms, and gradually increased body temperature continued at 39 ℃ and more, and diarrhea, stool 2 or 3 times a day for the yellow watery stool, no tenesmus. 2 days ago feeling bloating, right lower quadrant pain, but no nausea and vomiting. Suspected “acute appendicitis” admitted to hospital. Past physical health, family history of contagious disease exposure, did not receive typhoid vaccine and hepatitis, hemorrhagic fever vaccine injection.