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患者男,57岁。2015年10月6日因发热伴咳嗽咽痛1周,意识模糊1d入院。既往史:既往身体健康。否认高血压、糖尿病及冠心病史,否认肝炎、结核病史。否认重大手术外伤史,否认输血史及预防接种。无药物、食物过敏史。患者1周前与发热小儿密切接触后出现发热,伴咽痛,并有乏力、纳差,当时体温39℃,遂至外院就诊。查血常规:WBC 9.13×109·L~(-1),N 62.6%,Plt 156×10~9·L~(-1),考虑“上呼吸道感染”。先
Male patient, 57 years old. October 6, 2015 due to fever with cough and sore throat for 1 week, confusion 1d admission. Past history: the past, good health. Denied the history of hypertension, diabetes and coronary heart disease, denied hepatitis, history of tuberculosis. Denied the history of major surgical trauma, denied the history of blood transfusion and vaccination. No drug, food allergy history. Patients with fever in children a week ago in close contact with fever, with sore throat, and fatigue, anorexia, when body temperature 39 ℃, then to the hospital. Blood tests: WBC 9.13 × 109 · L ~ (-1), N 62.6%, Plt 156 × 10 ~ 9 · L ~ (-1), consider “upper respiratory tract infection ”. first