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患者男性,32岁,湖北省孝感县人,1982年2月去云南孟连县,5月5日离云南乘车途中开始发热、畏寒.曾用氯喹1.2g和伯喹67.5mm,3天口服,肌注奎宁0.25g,效差。15日就诊。体检:神志模糊。体温39.7℃,血压90/60。肝肋下1.5cm,质软,脾肋下3cm。心肺(-)。以发热待查伤寒可疑入院。化验查血红蛋白9.8g、红细胞360万、白细胞9,000、肥达氏试验(-)、疟原虫(-)。按伤
Male, 32 years old, Xiaogan County, Hubei Province, went to Menglian County in Yunnan Province in February 1982 and started fever and chills on the 5th of May on the way to Yunnan. They used chloroquine 1.2g and primaquine 67.5mm for 3 days Oral, intramuscular quinine 0.25g, poor effect. 15 days treatment. Physical examination: Ambiguity. Body temperature 39.7 ℃, blood pressure 90/60. Liver ribs 1.5cm, soft, spleen ribs 3cm. Cardiopulmonary (-). Infectious fever to be checked suspicious admission. Laboratory tests hemoglobin 9.8g, erythrocytes 3.6 million, white blood cells 9,000, Widal’s test (-), Plasmodium (-). By injury