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对多发性肌炎误诊为结核病1例分析如下。1病历摘要男,55岁。因腰痛、双臀部及大腿肌肉疼痛,伴发热1个月,加重6 d入院。患者无明显诱因1个多月前先感腰痛、双臀部肌肉压痛,半个月后双下肢肌无力,抬腿困难,双肩部也有不适感,每日午后发热(T37.3~37.8℃),发热时面部潮红,四肢肌肉酸痛,每晚20:00左右体温自行恢复正常,从未用过退热
Misdiagnosed as polymyositis tuberculosis in 1 case analyzed as follows. 1 medical record summary male, 55 years old. Due to low back pain, double hip and thigh muscle pain, fever 1 month, increased 6 d admission. Patients with no obvious incentive more than 1 month ago, the first low back pain, hip muscle tenderness, two months after the lower extremity muscle weakness, leg difficulties, shoulders also have discomfort, daily afternoon fever (T37.3 ~ 37.8 ℃) Fever when the face flushing, limbs and muscle pain, body temperature around 20:00 every night to resume normal, never used antipyretic