患者女,53岁,因发热2周高热3天于1991年3月12日入院。患者于入院前2周夜间突感寒战,1小时后发热,伴出汗,第2天热退,第3天夜间又寒战发热本单位医务室诊为“上呼吸道感染”。经治疗发热不缓解,体温波动在38℃左右,伴周身肌肉疼痛,以腹部明显。上腹出现两块紫红色皮疹,疼痛,质较 Female patient, age 53, was admitted to hospital on March 12, 1991 due to fever for 2 weeks and 3 days of fever. Patients admitted to hospital two weeks before the sudden chills, fever after 1 hour, with sweating, the first two days of heat back, the third day at night chills fever The unit clinic as “upper respiratory tract infection.” The treatment of fever does not ease, body temperature fluctuations at about 38 ℃, with peri-abdominal muscle pain, the abdomen was obvious. Abdomen appears two purple rash, pain, quality