患儿女 ,11岁。因反复不规则发热半年 ,双侧耳前肿物伴疼痛 15天于1999年 3月 2 9日入院。患儿半年前始无诱因地出现反复不规则发热 ,体温 37～ 39℃ ,伴乏力、纳差、消瘦 ,有时眼眶痛、膝关节疼痛、鼻衄、轻咳 ,于当地间断应用抗生素治疗效果差。半月前偶然发现左耳前有花生米 Children with children, 11 years old. Due to repeated irregular fever for six months, bilateral auricle with pain 15 days in 1999 March 29 admission. Children six months ago, there was no incentive to repeated irregular fever, body temperature 37 ~ 39 ℃, with fatigue, anorexia, weight loss, and sometimes orbital pain, knee pain, epistaxis, light cough, intermittent antibiotic treatment in the local poor . Half a month ago found peanuts in front of his left ear