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患者女,16岁。因发烧,咳嗽一个月,经抗炎治疗无效而入院,入院后查体:消瘦,体温38℃,血压12/8kPa,全身未触及肿大的表浅淋巴结,心率90次/分,双肺未闻病理性呼吸音,腹部检查末见异常,化验血沉55mm/h,胸片提示右上浸润型肺结核及右肺门淋巴结肿大。以后给以抗痨治疗,链霉素、雷米封及利福平,2个月后复查胸片提示右上浸润结核病灶吸收好转,右肺门淋巴结明显缩小,但患者一直仍有低热,体温(腋温)37.3~37.8℃,因怀疑链霉素引起的
Female patient, 16 years old. Because of fever, cough for a month, the anti-inflammatory treatment ineffective and admitted to hospital after admission examination: weight loss, body temperature 38 ℃, blood pressure 12 / 8kPa, the body did not touch the enlarged superficial lymph nodes, heart rate 90 beats / min, Smell the pathological breath sounds, abnormal abdominal examination, test erythrocyte sedimentation rate 55mm / h, chest X-ray showed right infiltration of tuberculosis and right hilar lymph nodes. Later to anti-tuberculosis treatment, streptomycin, remy sealed and rifampicin, 2 months after the review chest X-ray infiltration of tuberculosis lesions showed improved absorption, right hilar lymph node was significantly reduced, but patients have been still low fever, body temperature Axillary temperature) 37.3 ~ 37.8 ℃, due to suspicion of streptomycin caused