患者女,20岁,因畏寒发热1月,左侧胸痛20天于1987年11月11日入院。查体:体温39℃、脉搏100次、呼吸30次、血压13.3/7.73kPa(100/58mmHg),慢性病容,无皮疹,左胸饱满,语颤减弱,叩呈浊音,左肺呼吸音减弱,脾肋下未及,余皆正常。自细胞总数8.1×10~9/L,中性78%,淋巴22%。胸透左侧胸腔积液。“A”超左胸见液平面。“B”超脾脏正常。诊断为结核性胸膜炎,予以抗结核治疗。次日胸水外观和胸水常规检查提示脓胸,改用青霉素治疗。以后连续3次脓液培养均为伤寒杆菌纯生长。血肥达 Female patient, 20 years old, due to chills and fever January, left chest pain 20 days in November 11, 1987 admitted. Examination: body temperature 39 ℃, pulse 100 times, breathing 30 times, blood pressure 13.3 / 7.73kPa (100 / 58mmHg), chronic disease, no rash, left chest full, tremor weakening, knocking dull sound, left lung breath sounds weakened, Spleen under the ribs, I are normal. Since the total number of cells 8.1 × 10 ~ 9 / L, 78% neutral, lymph 22%. Chest through the left pleural effusion. “A” ultra-left chest to see the liquid level. “B” super spleen normal. Diagnosis of tuberculous pleurisy, anti-TB treatment. The next day, the appearance of pleural effusion and pleural effusion routine examination prompted empyema, use penicillin treatment. After 3 consecutive pus culture are pure growth of typhoid bacillus. Blood fat up