利福平致流感综合征1例

• 作 者: 马殿成
• 机 构: 南京长江油运公司门诊部,
• 出 处: 交通医学
• 发表日期: 1991年04期
• 关键词: 流感综合征 颈淋巴结核 全身酸痛 利福定 活检报告 系统综合征 急性肾衰 腹部综合征

患者,女,33岁,因畏寒、发热,全身酸痛3天,于1990年6月6日入院。体温40℃持续3～4小时自行降至正常,但仍感全身酸痛。入院前患者因颈淋巴结核用异菸肼、链霉素和利福平抗结核治疗, 入院后继续进行抗结核治疗,治疗过程中患者重复出现上述症状,做颈淋巴结核活检报告结核。复习文献后,疑为利福平副作用,即停服利福平,改用利福定继续治疗,上述症状未见出现,体温正常。

Patient, female, 33 years old, admitted to hospital on June 6, 1990 due to chills, fever and body aches for 3 days. Body temperature 40 ℃ for 3 to 4 hours to fall to their normal, but still feel body aches. Before admission, patients with cervical lymph node tuberculosis with isoniazid, streptomycin and rifampicin anti-TB treatment, admission to continue anti-TB treatment, the treatment of patients with recurrent symptoms, cervical lymph node biopsy report tuberculosis. After reviewing the literature, suspected side effects of rifampicin, that is, taking rifampicin, switch to rifadin treatment, the above symptoms did not appear, the body temperature is normal.