病例摘要:患儿男,4岁,因不规则发热4月余于8月11日来诊。4个月前开始发热,以上午高达40℃,无畏寒,不咳嗽,无吐泻,热退时出汗较多,热退后食欲佳,玩耍好,每发热2～3天,间歇数天。曾先后在乡卫生院、县医院、济南某医院住院3个月余,先后诊为“风湿热、心肌炎、败血症、变应性亚败血症”等,给多种抗生素,大量激素、水杨酸类药物治疗,病情无明显好转,而收入院。家族史及个人史无特殊可载。查体:柯兴氏面容,浅表淋巴结不大,心 Case Summary: Children male, 4 years old, due to irregular fever in April more than August 11 consultation. 4 months ago began to fever, as high as 40 ℃ in the morning, no chills, no cough, no vomiting, rejuvenation more sweating, good heat back appetite, good play, every fever for 2 to 3 days, intermittent days. Has worked in the township hospitals, county hospitals, a hospital in Jinan for more than 3 months, has been diagnosed as “rheumatic fever, myocarditis, sepsis, allergic sepsis” and so on, to a variety of antibiotics, a large number of hormones, salicylic acid Drug treatment, no significant improvement in condition, and income homes. Family history and personal history no special can be contained. Physical examination: Cushing’s face, superficial lymph nodes, heart