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钩端螺旋体病的临床表现多样,不典型的病例,临床诊断常有困难,甚至误诊或漏诊。我院收治1例不典型的钩体病患者,其X线表现酷似血行播散型肺结核,现报告于下。 男性,38岁,湖南隆回县人。因全身乏力9天,畏寒、发热7天于1984年8月20日入院。 患者于7月26日至8月5日在隆回县参加双抢。11日感明显全身乏力,但无腓肠肌及其它部位疼痛。13日突起畏寒、寒战、随之高热,伴轻咳,痰中带少量血丝,无胸痛和呼吸困难。当地诊断为“上呼吸道感染”,治疗无效。
Leptospirosis clinical manifestations of diverse, atypical cases, clinical diagnosis often difficult, or even misdiagnosis or missed diagnosis. One case of leptospirosis patients admitted to our hospital, its X-ray resembles hematogenous disseminated tuberculosis, are reported below. Male, 38 years old, Hunan Longhui County. Due to malaise 9 days, chills, fever 7 days in 1984 August 20 admission. Patients from July 26 to August 5 in Longhui County to participate in double rob. On the 11th, the body was obviously weak, but no gastrocnemius and other parts of the pain. 13 chills, chills, followed by fever, with light cough, sputum with a small amount of bloodshot eyes, no chest pain and breathing difficulties. Local diagnosis of “upper respiratory tract infection”, the treatment is invalid.