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患者,女,39岁,因“发热待查”于1997年1月10日入院。患者于1周前发现前胸、腰部出现斑点状皮疹,入院次日起高热,39～40.4℃,为弛张热,同时伴有咽痛,咳嗽,咳痰。WBC 16.9×10~9/L,P 92％。胸片为双肺陈旧性肺结核、左下支气管扩张。考虑支气管扩张合并感染,入院后给予头孢呋辛(赐福乐信)、甲硝唑、庆大霉素治疗无效,改为红霉素治疗。住院期间做痰培养,24h痰查结
The patient, female, 39 years old, was admitted to hospital on January 10, 1997 due to fever. Patients found a chest a week ago, the waist spotted rash, high fever on admission the next day, 39 ~ 40.4 ℃, for the relaxation fever, accompanied by sore throat, cough, sputum. WBC 16.9 × 10 ~ 9 / L, P 92%. Chest radiography for old lung tuberculosis, left lower bronchiectasis. Consider bronchiectasis with infection, given cefuroxime (blessing letter), metronidazole, gentamicin treatment ineffective, replaced by erythromycin treatment. Sputum culture during hospitalization, 24h sputum check