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患者男,54岁。因头痛半月,发热2天就诊。急诊查头颅CT无明显异常。血常规:白细胞5.3×109/L,血红蛋白10.3 g/dl。腰椎穿刺脑脊液常规:颜色透明度微浑,白细胞630/uμl;脑脊液生化:潘氏试验阳性(+),脑脊液氯化物106 mmol/L,脑脊液微量蛋白1990 mg/L。既往史:诊断“华氏巨球蛋白血症伴自身免疫性溶血性贫血”1年,长期服用
Male patient, 54 years old. Half a month due to headache, fever 2 days treatment. Emergency head CT examination no obvious abnormalities. Blood: white blood cells 5.3 × 109 / L, hemoglobin 10.3 g / dl. Lumbar puncture cerebrospinal fluid routine: micro-turbidity of color clarity, white blood cells 630 / uμl; cerebrospinal fluid biochemistry: positive PAN assay (+), cerebrospinal fluid chloride 106 mmol / L, cerebrospinal fluid micro-protein 1990 mg / L. Past history: diagnosis “Fahrenheit macroglobulinemia with autoimmune hemolytic anemia ” 1 year, long-term use