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病历摘要男,35岁。因畏寒、发热、食欲减退、乏力一月余于1976年7月26日入传染科。患者于1976年6月初无何诱因而有发热,每日体温最高达39.5℃,最低为37.5℃,伴有畏寒、乏力、全身酸痛,但无固定的关节肿痛。有时微有腹痛,大便无异常,食欲减退,但无呕吐。近月来不能坚持工作,曾对症治疗效果不佳。三天前在我院门诊查白细胞为4200,嗜酸性粒细胞消失,疑为伤寒,服痢特灵200mg,一日三次,共三日。自觉体温稍有减退,但精神仍差,为明确诊断乃收入院。过去史无特殊。体检:体温37.2℃,表情淡漠,巩膜无黄染,周身浅表淋巴结不肿大,心肺无异常。腹软,剑下
Medical history male, 35 years old. Due to chills, fever, loss of appetite, fatigue in January more than July 26, 1976 into the Department of Infectious Diseases. Patients in early June 1976 without any incentives and fever, daily body temperature up to 39.5 ℃, a minimum of 37.5 ℃, accompanied by chills, fatigue, body aches, but no fixed joint swelling and pain. Sometimes a slight abdominal pain, no abnormal stools, loss of appetite, but no vomiting. In recent months can not insist on work, had symptomatic treatment ineffective. Three days ago in our hospital outpatient investigation white blood cells 4200, eosinophils disappear, suspected typhoid fever, serving furazolidone 200mg, three times a day for a total of three days. Feeling a slight decrease in body temperature, but the spirit is still poor, is a clear diagnosis is income homes. Past history is unique. Physical examination: body temperature 37.2 ℃, apathy, sclera no yellow dye, whole body superficial lymph nodes is not swollen, no abnormal heart and lung. Abdomen soft, under the sword