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病历摘要男,13岁,学生,因寒战、发热伴全身肌痛近一个月,于1978年1月12日入院。患儿于入院前近一个月不明原因的寒战、发热、出汗,体温常达41℃,同时感头痛,但不吐,神志清。第3天双下肢开始出现紫红色小块状皮疹,2～3天自行消退,但以后又出现。自感全身肌肉疼痛,关节痛,不红肿。在当地医院用多种抗生素、激素治疗5天后症状减径,但停用激素两天又出现寒战,体温又
Medical summary Male, 13 years old, student, due to chills, fever with systemic musculargia nearly a month, January 12, 1978 admission. Children admitted to hospital nearly a month before the unknown chills, fever, sweating, body temperature often up to 41 ℃, at the same time a sense of headache, but do not spit, conscious. On the third day, the lower extremities began to appear small purple rash, 2 to 3 days to subside on their own, but later appeared. Self-feeling body muscle pain, joint pain, not inflamed. In a local hospital with a variety of antibiotics, hormones reduce the symptoms after 5 days, but two days after the withdrawal of hormones appeared chills, body temperature