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女、13个月,不规则发热30余天入院,体温波动于38℃～39℃,精神好,无其他系统感染征,用抗生素治疗无效,体查:皮肤仅胸前见有少量散在丘疹,淋巴结仪颌下呈黄豆、绿豆样大小4个,双眼结膜无充血,唇干裂,咽、口腔粘膜充血、粗糙,无扁桃体肿大,腹软,肝肋下1.5cm,质较缘薄,脾未扪及,其他检查无异常。入院后,精神逐日萎靡,嗜睡,时有烦燥,不思食,体温40℃,全身皮肤均呈
Female, 13 months, irregular fever more than 30 days admission, temperature fluctuations in 38 ℃ ~ 39 ℃, good spirits, no other signs of systemic infection, antibiotic treatment is invalid, physical examination: the skin see only a small amount of scattered chest papules, lymph nodes Instrument was submandibular soybeans, mung bean-like size 4, no conjunctival hyperemia, lip chapped, pharynx, oral mucosal congestion, rough, no tonsil enlargement, abdominal soft, liver ribs 1.5cm, relatively thin margin, the spleen is not palpable And, other tests without exception. After admission, the spirit of daily malaise, lethargy, when irritable, do not think of food, body temperature 40 ℃, the whole body was