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患者,男性,31岁。1个月前上感后出现咽痛、畏寒、发热、纳差、乏力及双侧颈部疼痛症状,体温由38℃升至39℃,弛张热型,外周血白细胞(2.0～4.0)×10~9/L,分类计数正常。多种抗生素治疗无效,发病1个月体重下降10kg。查体:体温39℃,热性重病容,双侧颈可触及多个肿大淋巴结,直径0.5～2.0cm,压痛明显,活动度尚可,双侧腋窝及腹股沟亦可扪及数枚肿大的淋巴结。两肺呼吸音清,心率100/min,律齐,肝脏肋下刚及,脾肋下2.0cm,质中边钝,无触痛。辅助检查:血白细胞6.9×10~9/L,中性0.68,淋巴0.28。GPT62U/L,CRP1mg/L,ESR6mm/h,淋
Patient, male, 31 years old. 1 month before the flu, sore throat, chills, fever, anorexia, fatigue and bilateral neck pain symptoms, body temperature rose from 38 ℃ to 39 ℃, remission type, peripheral blood leukocytes (2.0 ~ 4.0) × 10 ~ 9 / L, normal classification and counting. A variety of antibiotic treatment is invalid, the incidence of weight loss 10kg a month. Physical examination: body temperature 39 ℃, severe heat disease, bilateral neck can reach multiple enlarged lymph nodes, 0.5 ~ 2.0cm in diameter, tenderness significantly, activity is acceptable, bilateral axillary and inguinal palpable and several enlarged Of lymph nodes. Breath sounds clear two lungs, heart rate 100 / min, Law Qi, the ribs just under the liver, spleen ribs 2.0cm, the quality of the side blunt, no tenderness. Auxiliary examination: white blood cells 6.9 × 10 ~ 9 / L, neutral 0.68, lymph 0.28. GPT62U / L, CRP1mg / L, ESR6mm / h, leaching