病历摘要患者高××,男、23岁,工人、住院号2652。因发热、多汗、大关节和腰骶疼一周于1976年三月四日入院。患者于二月二十五日开始突然发冷发热,体温在38.5℃以上,每日临晚升至高峰,伴有多汗。全身大关节(肩、肘、膝、踝)酸疼、腰骶疼步行不能直腰。极感疲乏无力,伴有头痛、轻度咳嗽,少量白色粘痰、胸部胀痛和食欲不振。曾服安乃近、四环素和肌注青霉素无效,遂收住我院。既往患过肾盂肾炎,1974年右下腹疼 High medical records summary × ×, male, 23 years old, workers, hospital number 2652. Due to fever, sweating, big joints and lumbosacral pain a week in March 4, 1976 admission. The patient started to have chills and fever suddenly on February 25, with body temperature above 38.5 ℃. Body joints (shoulder, elbow, knee, ankle) aching, lumbar and sacral pain can not walk straight waist. Extremely tired and weak, accompanied by headache, mild cough, a small amount of white phlegm, chest pain and loss of appetite. Had served Annapolis, tetracycline and muscle injection of penicillin invalid, then admitted to our hospital. Previously had pyelonephritis, right lower quadrant pain in 1974