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病例摘要史××女1(4/12)岁,住院号65514。因全身淋巴结进行性肿大伴不规则发热3个月于1980年5月23日入院。入院前九个月,其母发现患儿两颌下有多个蚕豆大肿块,不发热,局部不红肿,无压痛。入院前3个月患儿高热,热起3天后出疹,疹自颈、头面部开始遍及全身,出疹时热高,稍咳,疹约持续3～4天后退,似有皮肤脱屑。但疹退后仍持续高热不退,与此同时,颌下、颈、腋下等肿块增多并进行性增大,先后用红、氯、青、庆大霉素及链霉素治疗,亦曾不规则使用异菸肼等均无效。病中患儿食欲不振,精神萎糜,消瘦。病前患儿身体尚好,曾患过百日咳。家中父母均健,其祖母一年前去世,有咯血史。
Case history of the history of XX female 1 (4/12) years old, hospital number 65514. Due to systemic lymphadenopathy with irregular fever 3 months in May 23, 1980 admitted. Nine months before admission, his mother found that there were many large mass of broad beans under their jaws, which did not cause any fever or local swelling and no tenderness. 3 months before admission, children with fever, fever 3 days after the rash, rash from the neck, head and face began throughout the body, high fever rash, slightly cough, rash about 3 to 4 days back, seems skin scaling. However, after the retina retreated, the retreat was continued. At the same time, submandibular, cervical, underarm and other lumps increased and progressed. Red, chlorine, cyan, gentamicin and streptomycin were successively treated. Irregular use of isoniazid ineffective. Illness in children with loss of appetite, spiritual wilt Mi, weight loss. Premorbid children are still healthy and have had pertussis. Family parents are healthy, his grandmother died a year ago, history of hemoptysis.