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患者系男性,19岁,农民。因发冷、发热、出汗呈间日发作26d,伴头昏、乏力18d,于1990年9月22日入院。发病前在海南务工3月,有露宿蚊叮咬史。体检:T39.5℃,贫血貌,肝肋下1.5cm,脾未及。实验室检查:Hb30g/L,RBC0.68×10~(12)/L,WBC32.4×10~9/L,中性0.71,其中晚幼0.2、杆状核0.15、分叶核0.54,淋巴0.29。血小板56×10~9/L,外周血见极少中、晚幼红细胞及网织细胞。尿常规正常。肝功能大致正常。骨髓象:有核细胞增生活跃,M:E=1.2:1。粒系增生活跃,占0.47,红系增生活跃,占0.36,除原始粒细胞外各阶段细胞均可见,
Male patients, 19 years old, farmers. Due to chills, fever, sweating showed a daily episode 26d, with dizziness, fatigue 18d, admitted on September 22, 1990. Before the onset of work in Hainan in March, there is a dormant mosquito bites history. Physical examination: T39.5 ℃, anemia appearance, liver ribs 1.5cm, spleen is not. Laboratory tests: Hb30g / L, RBC0.68 × 10-12 / L, WBC32.4 × 10-9 / L, neutral 0.71, of which late young 0.2, rod core 0.15, lobulated 0.54, lymphatic 0.29. Platelets 56 × 10 ~ 9 / L, peripheral blood see very few, late young red blood cells and reticulocytes. Urine routine normal. Liver function is generally normal. Bone marrow: nucleated cell hyperplasia, M: E = 1.2: 1. Granulomatous hyperplasia, accounting for 0.47, erythroid hyperplasia, accounting for 0.36, in addition to the primary granulocytes in all stages of cells are visible,