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患者,女,51岁,主诉不规则发热伴消瘦2月。2月前出现发热(37.2～39℃),当地予青霉素,地塞米松治疗,热退至正常。但停药后再次发热,伴纳差、进行性消瘦,体检:T:36.2℃,贫血貌,恶液质,皮肤粘膜未见瘀点,腹部皮下可及6枚直径约2～4cm的结节,质中,活动佳,压痛(+)。双侧腹股沟可及蚕豆大淋巴结各1枚,质韧、压痛、余浅表淋巴已结末及。血常规Hb82g·L~(-1),WBC9.6×10~9·L~(-1),N76%,L24%骨髓涂片示:感染性骨髓象(有核细胞增生活
Patient, female, 51 years old, complains of irregular fever with weight loss February. 2 months ago fever (37.2 ~ 39 ℃), the local penicillin, dexamethasone treatment, fever retreat to normal. However, after stopping fever again, with anorexia, progressive weight loss, physical examination: T: 36.2 ℃, anemia appearance, cachexia, skin and mucous membrane no petechia, abdomen can be subcutaneous 6 ~ 2cm in diameter nodules , Quality, good activity, tenderness (+). Both sides of the groin and the broad bean lymph nodes each one, quality toughness, tenderness, superficial lymph nodes have been and. Blood routine Hb82g · L ~ (-1), WBC9.6 × 10 ~ 9 · L ~ (-1), N76%, L24% Bone marrow smear shows: Infectious bone marrow (nucleated cell proliferation