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病史介绍王××,男性,25岁。工人。住院号176786。简史:患者于入院前4个月起感乏力,并有发热(晨起37.5℃左右,午后约38.5℃)。服退热药,并应用庆大霉素、红霉素治疗一个月无效,于1980年5月2日住入当地医院。入院后,午后体温升高至39.5℃左右,甚至达40℃以上,迄凌晨渐退。改用青霉素、链霉素等治疗(剂量不详),半个月后体温降至正常,一周后出院。出院后半个月,再度出现低热,并伴脐周隐痛、腹泻,大便每日2～4次,呈黄色糊状,无脓血。后因体温继续升高,经用庆大霉素、青霉素、土霉素等无效,于7月4日再次住原医院。实验室检查示轻度贫血,白细胞计数增
Wang XX history, male, 25 years old. worker. Hospital number 176786. A brief history: patients from the hospital 4 months before fatigue, and fever (morning 37.5 ℃, about 38.5 ℃ in the afternoon). Antipyretic drugs, and the application of gentamicin, erythromycin treatment for one month invalid, in May 2, 1980 admitted to the local hospital. After admission, afternoon body temperature rose to 39.5 ℃ or so, even up to 40 ℃ or more, as early as early afternoon recession. Use penicillin, streptomycin and other treatments (dose unknown), half a month after the temperature dropped to normal, a week after discharge. Half a month after discharge, re-emergence of fever, and associated with umbilical pain, diarrhea, stool 2 to 4 times daily, yellow paste, no blood. After the body temperature continued to rise, the use of gentamicin, penicillin, oxytetracycline and other invalid, on July 4 once again live in the original hospital. Laboratory tests showed mild anemia, white blood cell count increased