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一、因淋巴结肿大误诊为淋巴结炎、淋巴结结核4例例1:男,56岁。因发热,周身窜痛2个月,左颈部包块1周入院。初诊为颈淋巴结炎,布氏杆菌病?住院期间病人左颔下淋巴结进行性肿大,且左锁骨上出现13.5×2.5厘米大的淋巴结,质硬,不红不痛。波状热,脾大,睾丸肿痛,经抗感染治疗无效。查布氏杆菌凝集试验阴性,两次淋巴结活检,确诊为弥漫性恶性淋巴瘤,用长春新
First, due to lymphadenopathy Misdiagnosed as lymphadenitis, lymph node tuberculosis 4 Example 1: Male, 56 years old. Due to fever, whole body channeling pain for 2 months, left neck mass 1 week admission. First diagnosed as cervical lymphadenitis, brucellosis? Patients during hospitalization of the left lower extremity lymph nodes progressive enlargement, and the left supraclavicular appeared 13.5 × 2.5 cm large lymph nodes, hard, red is not painful. Wavy fever, splenomegaly, testicular swelling and pain, the treatment of anti-infective invalid. Charlie’s bacilli coagulation test negative, two lymph node biopsy, diagnosed as diffuse malignant lymphoma, with Changchun new