青壮年罹患恶性网状细胞病较多,病情险恶,且易误诊。我院两年来共收治两例,其中一例在本院确诊,现报告于下。病历摘要:男,18岁,郊区农民,因持续高热、畏寒、头晕20余天,于1983年12月7日入院。患者于20天前发热,开始有咳嗽,鼻塞,后反复高热,畏寒,头晕,头痛,胸闷,全身不适,倦乏无力,鼻衄,日渐衰弱,食欲不振。曾在当地卫生院服过中药,肌注青霉素,内服红霉素等治疗无效。既往健康,最近未服过磺胺、氯霉索等药物;未使用过有机磷农药。体查:体温39℃,脉搏108次,呼吸24次,血压88/60。神清,表情淡漠,精神萎靡,消瘦,面色苍白,巩膜无黄染,耳后、浅颈及腹 Young adults suffering from malignant reticulosis, more dangerous, and easily misdiagnosed. A total of two cases admitted to our hospital over the past two years, one case was diagnosed in our hospital, the report is now under. Medical record summary: Male, 18 years old, rural farmer, due to sustained high fever, chills, dizziness more than 20 days, was admitted on December 7, Patients with fever 20 days ago, began to have cough, stuffy nose, after repeated high fever, chills, dizziness, headache, chest tightness, general malaise, tired and weak, epistaxis, getting weaker, loss of appetite. Had served in the local hospitals of traditional Chinese medicine, intramuscular injection of penicillin, oral administration of erythromycin invalid treatment. Past health, not yet served sulfa, chloramphenicol and other drugs; not used organophosphate pesticides. Physical examination: body temperature 39 ℃, pulse 108 times, breathing 24 times, blood pressure 88/60. Shen Qing, apathy, apathetic, weight loss, pale, Sclera no yellow dye, ear, neck and abdomen