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患者女,41岁,工人,20天前拔牙后发烧,体温37℃～38℃,伴咽痛,头痛,干咳,无胸痛,咯血,门诊查胸透正常,白细胞18 100/μL,中性68％,诊为“上感”,口眼可乐必妥,双黄连治疗,体温不降。再查白细胞30 000/μL,中性 80％,其中嗜酸63％,诊为“发热,嗜酸细胞增多原因待查”而收入院。查体:T 37.4℃,BP 120/70mmHg,神清,精神好,右颈后及右腹股沟各及一直径O.8cm的淋巴结,质中,活动好,无压痛,心肺腹查体未
Female, 41 years old, worker, fever 20+ days before tooth extraction, body temperature 37-38 ° C, with sore throat, headache, dry cough, no chest pain, hemoptysis, %, Diagnosed as “on the flu,” Koubi cola, shuanglian treatment, body temperature does not drop. Re-check the white blood cells 30 000 / μL, 80% neutral, of which 63% eosinophilic, diagnosed as “fever, eosinophil cause to be investigated” and income homes. Physical examination: T 37.4 ℃, BP 120 / 70mmHg, clear, good spirit, right and right groin and the right groin and a diameter of O.8cm lymph nodes, quality, good activity, no tenderness, cardiopulmonary abdominal examination