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病理摘要男患,71岁,因间断发热伴消瘦二月余于1990年7月13日入院。患者自1990年4月中旬起自觉发热,未予重视未测体温,4月底以来间断高热,(39℃～40℃)持续3～5天后体温下降至37℃左右,3～5天后又持续高热数天,无寒战、盗汗,不伴咳嗽、胸痛、呼吸困难,也无尿频、尿痛以及皮疹、关节疼痛、胸骨疼痛等症,发热时用APC或安乃近可暂时退热。近二月来体重减轻10余斤。血培养、骨髓培养,骨髓涂片检查均无异常发现。曾用多种抗生素及二周抗结核治疗无效。因诊断未明而转入我院。平素身体健康。体格检查T37.2℃,P90次/分,Bp13.3/9.3kPa,稍瘦,精神稍差,皮肤粘膜无出血点,皮疹及黄染,左侧颈部及右腋下可及数个黄豆至蚕豆大小淋巴结,质软,活动,无压痛。肝右肋弓下3cm,质地中等偏硬,表面光滑、无触痛,脾未触及。腹
Pathological summary Male patients, aged 71, died of intermittent fever and weight loss February more than July 13, 1990 admission. Since mid-April 1990, patients were consciously experiencing fever. Their body temperature has not been given any attention. Since the end of April, the fever has been interrupted intermittently (39-40 ° C) for 3 to 5 days and the temperature dropped to about 37 ° C. After 3 to 5 days, the patient continued to have fever A few days, no chills, night sweats, without cough, chest pain, difficulty breathing, no urinary frequency, dysuria and rashes, joint pain, sternum pain embolism, fever with APC or metamizole temporarily fever. Nearly two months to lose more than 10 pounds weight. Blood culture, bone marrow culture, bone marrow smears were no abnormal findings. Has used a variety of antibiotics and two weeks of anti-TB treatment is invalid. Because of unknown diagnosis and transferred to our hospital. Normal physical health. Physical examination T37.2 ℃, P90 times / min, Bp13.3 / 9.3kPa, lean, slightly less spirit, skin and mucous membrane without bleeding, rash and yellow dye, the left neck and right axilla can be several beans To the size of broad bean lymph nodes, soft, active, no tenderness. Liver right rib bow 3cm, medium texture and hard, smooth surface, no tenderness, spleen not touched. belly