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周某,男,20岁。1983年9月9日,因发热、头痛4天,间断性扭转性痉挛2小时,急诊入院。入院前反复低热半年,1983年7月颈淋巴结活检诊断为“颈淋巴结结核”。8月中旬起服用异烟肼及对氨水杨酸钠,第10天出现持续性发热,体温38~39℃。9月9日下午,突然发生扭转性痉挛,头颈与上身向右、下肢向左扭曲呈麻花样,间断发作近2小时。体检:
Zhou, male, 20 years old. September 9, 1983, due to fever, headache for 4 days, intermittent twisting spasm 2 hours, emergency admission. Repeated low heat six months before admission, cervical lymph node biopsy in July 1983 diagnosed as “cervical lymph node tuberculosis.” From mid-August onwards with isoniazid and sodium salicylate, the first 10 days of sustained fever, body temperature 38 ~ 39 ℃. On the afternoon of September 9, a sudden spasm of spasm occurred, with the head and neck turned to the right and the left leg distorted to the left with a twist pattern, with intermittent seizures lasting nearly two hours. Physical examination: