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患者男性,7岁,因双侧颈淋巴结肿大,咳嗽,发烧,盗汗一个月,在门诊就医,胸片示双侧肺门阴影增大,诊为双侧颈部淋巴结结核、肺门结核。应用INH、RFP、SM治疗二个月,症状无好转,且出现高烧、胸痛等症状,于1995年2月7日入院,体温38.9~39.5℃,全身皮肤粘膜未见出血点,双侧颈部、腋窝及腹股沟区均可触及肿大淋巴结,蚕豆至鸽卵大小,质地
The patient was a 7-year-old man with bilateral cervical lymphadenopathy, cough, fever, and night sweats. He sought medical treatment at the outpatient clinic. The chest radiograph showed enlarged shadows on both sides of the hilar and he was diagnosed with bilateral cervical lymph node tuberculosis and hilar tuberculosis. After two months of treatment with INH, RFP, and SM, symptoms did not improve, and symptoms such as high fever and chest pain appeared. They were admitted to hospital on February 7, 1995. The body temperature was 38.9 to 39.5°C. There were no bleeding spots on the skin and mucous membranes of the whole body. , swollen fossa and groin area can touch enlarged lymph nodes, broad bean to pigeon eggs size, texture