男,24岁,农民。因腰痛45天,双下肢瘫痪伴尿潴留12天于1987年11月17日入院。初感右侧腰痛,后右侧腰背部隐痛和左下肢痛,并出现双下肢麻木,无力,逐渐失去自主活动,麻木平面向上延伸达腹部及下胸部,伴大小便潴留。瘫痪后3天开始发热,体温达38℃。查体:颈部、腋窝及腹股沟处可触及豆大至花生米大小的淋巴结数枚,质硬,活动无压痛。巩膜无黄 Male, 24 years old, farmer. 45 days due to low back pain, paralysis of both lower limbs with urinary retention for 12 days in November 17, 1987 admitted. Right after the first low back pain, pain in the lower back and right lower back pain and limbs, and numbness of both lower extremities, weakness, and gradually lose their own activity, numbness up to reach the abdomen and lower chest flat, with retention of urine. 3 days after paralysis began to fever, body temperature reached 38 ℃. Physical examination: neck, armpit and groin can reach the size of peanut beans from the large number of nodes, hard, activity without tenderness. Scleral no yellow