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患者男性,16岁,曾因发热、左骶尾部疼痛,X线确诊为骶髂关节结核,并予链霉素、异菸肼治疗,病情一度稳定,10月后再次出现发热、寒颤二十天,热型呈驰张热,左骶部、髋关节、腹股沟疼痛,高热时加剧。查体:心肺腹(-),左骶髂关节压痛,左髋关节功能受限。化验:血红蛋白7.39％,白细胞2400/mm~3,中性91％,淋巴9％,红细胞沉降率90mm/小时,血培养阴性,抗核抗体、双链DNA抗体及肥达氏反应均阴性。稀释结核菌素皮试(++)输血时出血大量等麻疹和红斑丘疹,单独使用各种抗菌素或抗结核治疗均无效,加
Patients, male, 16 years old, had fever, left caudal pain, X-ray diagnosis of sacroiliac joint tuberculosis, and to streptomycin, isoniazid treatment, the condition was stable, fever again after October, shiver twenty days , Hot type was Chi Zhang fever, left sacral, hip, groin pain, increased when high fever. Physical examination: cardiopulmonary abdominal (-), left sacroiliac joint tenderness, left hip joint function is limited. Assay: hemoglobin 7.39%, white blood cells 2400 / mm ~ 3, neutral 91%, lymphatic 9%, erythrocyte sedimentation rate 90mm / hour, negative blood culture, antinuclear antibody, double stranded DNA antibody and Widal reaction were negative. Dilute tuberculin skin test (++) Blood transfusions such as measles and erythema rash a large number of separate use of various antibiotics or anti-TB treatment are ineffective, plus