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病例摘要患者,男,78岁,因发热伴咳嗽、咳痰于2014年11月7日入院。既往有高血压和脑梗塞病史,否认糖尿病和肺结核病史。患者两月前因脑梗塞在当地医院治疗,期间发热,予口服药物后体温降至正常并出院,20天前再次发热,最高体温42℃,伴咳嗽、咳痰,痰为黄色粘痰,量多,有胸闷气喘,当地医院给予哌拉西林/他唑巴坦、莫西沙星、比阿培南等抗感染,仍间断发热,多发于夜间。辅检:2014年10月30日血常规示白细胞(WBC)11.93×109/L,中性粒细
Case Summary Male, 78 years old, admitted to hospital on November 7, 2014 due to fever and cough. Past history of hypertension and cerebral infarction, denied history of diabetes and tuberculosis. Patients were treated with cerebral infarction in a local hospital two months ago. During the fever, the body temperature dropped to normal after discharge of oral medication and was discharged. The fever again occurred 20 days before. The maximum temperature was 42 ° C with cough, expectoration and yellow phlegm volume More, there are chest tightness and asthma, local hospitals give piperacillin / tazobactam, moxifloxacin, biapenem and other anti-infection, still intermittent fever, often in the night. Subsection: October 30, 2014 blood showed white blood cells (WBC) 11.93 × 109 / L, neutropenia