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例1,男性28岁。因畏寒发热10天,巩膜及皮肤黄染5天入院治疗。经查肝功能异常及肥达氏反应阳性。血涂片查找疟原虫阴性。诊断:1.伤寒。2.慢性活动型肝炎。经用氨苄青霉素及其它保肝对症治疗无效。入院第五天解酱油样小便,血红蛋白下降致48g/L,复查疟原虫仍为阴性。入院第八天病情明显加重,高热持续不退,谵语,继之转入昏迷。再次复查疟原虫即查见恶性疟环状体。入院第九天中午死亡。全病程中均未进行抗疟治疗。例2,男性22岁。因淋雨受凉后引起不规侧发冷发热小腿酸痛10天入院。查体双眼结膜充血,腹股沟淋巴结肿大,双侧腓肠肌压痛。血象增高,血涂片未查见疟原虫,血培养未见疟原菌生长。初诊
Example 1, male 28 years old. Due to chills and fever 10 days, sclera and skin yellow dye 5 days admission treatment. The liver function abnormalities and Widal reaction positive. Blood smears look for negative plasmodium. Diagnosis: 1 typhoid fever. 2. Chronic active hepatitis. With ampicillin and other liver disease symptomatic treatment is invalid. On the fifth day of admission, soy sauce-like urine was collected and the hemoglobin decreased to 48g / L. The review of the parasite was still negative. On the eighth day of hospitalization, the condition was obviously aggravated. The high fever persisted. Re-review of the parasite that check the falciparum malaria ring. On the ninth day of admission, he died at noon. Anti-malaria treatment were not conducted during the entire course of the disease. Example 2, male 22 years old. Caused by the cold after the rain caused by irregular cold chills and calf pain 10 days admitted. Examination of conjunctival hyperemia, inguinal lymph nodes, bilateral gastrocnemius tenderness. Blood increased, blood smear did not check the malaria parasite, blood culture did not see the growth of malaria. First visit