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患者女,23岁。因间断发热伴颈部肿块8个月于1986年8月16日入院。入院前8个月无诱因畏寒、发热、咳嗽、咯少量白粘痰,双侧颈部淋巴结逐渐肿大。曾于某医院诊断“颈部淋巴结结核”,经抗结核治疗无效。病后2个月行颈部淋巴结活检,病理诊断为“慢性淋巴结炎,组织细胞增生”,经抗生索及糖皮质激素治疗,病情好转。入院前2周再次畏寒,体温持续39℃,周身散在皮疹,面色苍白,呼吸困难。无鼻
Female patient, 23 years old. Due to intermittent fever with neck mass 8 months on August 16, 1986 admission. 8 months before admission, no incentive chills, fever, cough, a slight amount of white sticky sputum, bilateral cervical lymph nodes gradually enlarged. In a hospital diagnosis of “cervical lymph node tuberculosis”, the anti-TB treatment ineffective. Two months after the disease, cervical lymph node biopsy was performed. The pathology was diagnosed as “chronic lymphadenitis and histiocytosis”. After being treated with antibiotics and glucocorticoid, his condition improved. 2 weeks before admission again chills, body temperature continued 39 ℃, whole body scattered in the rash, pale, breathing difficulties. No nose