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1 临床资料误诊7例均系住院病人,持续高热,治疗无效情况下经血培养,肥达式反应阳性而确诊.7例患者中男性4例,女性3例,最小年龄7岁,最大年龄35岁,平均26岁.主要临床表现:7例均有畏寒发热,体温持续在38.4～39.7℃ 之间,伴咳嗽痰多2例,心前区疼痛及上腹部疼痛1例,恶心呕吐腹泄3例,黑便1例.实验室检查:WBC>10×10~9/L3例;WBC<4×10~9/L1例.大便常规镜检:WBC+RBC(?)2例,OB(+)1例,肝功能
1 Clinical data Misdiagnosis of 7 cases were inpatients, sustained high fever, blood culture in the case of ineffective treatment, diagnosis of fat-type reaction was positive.7 cases of male patients in 4 cases, female 3 cases, the minimum age of 7 years old, the maximum age of 35 years , Average 26 years old.Main clinical manifestations: All the 7 patients had chills and fever, body temperature continued between 38.4 ~ 39.7 ℃, with cough and phlegm in 2 cases, precordial pain and upper abdominal pain in 1 case, nausea and vomiting, (1 case of WBC), 1 case of black stool, laboratory examination: WBC> 10 × 10 ~ 9 / L3 cases, WBC <4 × 10 ~ 9 / L1 cases. Stool routine examination: WBC + RBC 1 case, liver function