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弓形虫病临床表现复杂多样,无特异性症状及体征,容易误诊或漏诊。现将我们遇到的1例报告如下,并就该例误诊的原因及诊断和治疗中的有关问题进行讨论。 一、病例简介 患者女,38岁,护士。因间歇反复规律性发热4年余,于1989年6月再次住我院。4年前因受凉出现寒战、发热、咽痛、周身不适,按感冒治疗无效,伴全身皮肤、肌肉及大小关节疼痛,体温37.8～39℃。给予青霉素加氢化可的松静脉滴注10天后,体温高达40.2℃,胸、背部出现猩红热样皮疹,以药物热、药疹等对症治疗逐渐好转。自1986年冬开始发热呈规律性,多以夜12～晨5时体温达40℃以上,周身疼痛难忍,出大汗后热退、症状减轻,至次年春暖
Toxoplasmosis complicated and diverse clinical manifestations, non-specific symptoms and signs, easily misdiagnosed or missed diagnosis. We now encounter a case of the report is as follows, and on the causes of misdiagnosis and diagnosis and treatment of the issues discussed. First, the case description Female patient, 38 years old, nurse. Due to intermittent regular fever more than 4 years, in June 1989 once again live in our hospital. 4 years ago due to cold chills, fever, sore throat, whole body discomfort, according to the cold treatment is invalid, with the whole body skin, muscle and joint pain size, body temperature 37.8 ~ 39 ℃. Given penicillin hydrocortisone intravenous infusion of 10 days, the body temperature up to 40.2 ℃, chest, back scarlet fever-like rash to drug fever, drug eruption and other symptomatic treatment gradually improved. Since the winter of 1986, the fever began to show regularity, and most of the night 12 to 5 o’clock body temperature reached above 40 ℃, the whole body aches unbearably, after the sweat fever retreats, the symptom relieves,