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Petersdorf对100例成人无名热的分析中,36人有感染原因,其中1/3为结核病。有两人受累的原发部位在肝脏。相比之下,225名无名热患儿中,仅有4名为结核病。迄今规定原发性肝粟粒结核者为其他系统受累轻微,特别除外放射学检查证明有肺结核者。本文报道1例无名热患儿,符合肝粟粒结核的诊断标准,然而,胸部CT证明伴肺部粟粒结核。病例14岁,男孩,既往健康,表现为发烧38.8℃、寒战及头痛12天。入院前2天,出现腹部及膝后部疼痛,无胃肠及呼吸系统症状,亦无消瘦及盗汗史。
In Petersdorf’s analysis of anonymous hot analysis of 100 adults, 36 were responsible for the infection, of which one third were tuberculosis. There are two primary sites of involvement in the liver. In contrast, of the 225 anonymous fever children, only 4 are tuberculosis. To date, primary liver miliary tuberculosis has been found to be slightly affected by other systems, with the exception of radiographic tests that have documented pulmonary tuberculosis. This article reports 1 case of anonymous fever in children, in line with liver miliary tuberculosis diagnostic criteria, however, chest CT with pulmonary miliary tuberculosis. The case was 14 years old and the boy, formerly healthy, had a fever of 38.8 ° C, chills and headache for 12 days. Two days before admission, there were abdominal and knee pain, no gastrointestinal and respiratory symptoms, and no history of emaciation and night sweats.