患者,男,25岁。以高烧40d之主诉于1995年6月5日住院。患者同年4月20日受凉后自觉发烧,烧前寒战,以下午尤甚,测体温39℃,伴咳嗽,咯少量白色粘痰。1周后出现上腹部隐痛,并局部出现皮疹,呈红色小丘疹,不痒,按之不退包,3d后自行消退。5月初上述症状加重,初诊为“伤寒”,给静滴氨苄青霉素6.0g,1次/d,连续10d。 Patient, male, 25 years old. Chief complaint with a 40d high fever was admitted to hospital on June 5, 1995. Patients in the same year on April 20 after a cold conscious fever, burning before the chills, particularly in the afternoon, body temperature 39 ℃, with cough, slightly a little white sticky sputum. 1 week after appearing abdominal pain, and local rash, red papules, itch, according to the non-refundable package, after 3d subsided. In early May, the above symptoms were aggravated, and newly diagnosed as “typhoid fever” to give intravenous ampicillin 6.0g once a day for 10 days.