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患者李某,男性,廿岁,战士。因咳嗽,咯血一月于1978年7月7日入院。胸片见右纵膈旁有一园形,边缘整齐,密度一致阴影。痰涂片见抗酸杆菌。诊断为纵膈旁淋巴结核。当天即以硫酸链霉素1.0克/日,肌注。(皮试阴性)及异菸肿0.4克/日。7月19日又加服利福平,0.6克/日,均无不良反应(既往无药物过敏史)。但于8月13日突然出现寒战,体温39℃。8月17日上肢及躯干部皮肤首先出现散在的淡红
Patient Lee, male, 20 years old, warrior. Due to cough, hemoptysis was admitted to hospital on July 7, 1978. See a right chest next to the mediastinum a circular shape, tidy edges, consistent density shadow. Sputum smear see acid-fast bacilli. Diagnosis of mediastinal lymph node tuberculosis. The same day streptomycin sulfate 1.0 g / day, intramuscular injection. (Skin test negative) and different edema 0.4 g / day. July 19 plus plus rifampicin, 0.6 g / day, no adverse reactions (no past history of drug allergy). However, on August 13, there was a sudden chill with a temperature of 39 ° C. On August 17, the skin of the upper extremities and trunk first appeared scattered pink