1病历资料患者男,29岁。主因“发热伴咳嗽1周”于2008-03-14入我院呼吸科。既往健康。患者入院前1周受凉后出现低热,无明显呼吸道症状,于外院查白细胞(WBC)8×109/L(中性粒细胞0.59),血小板计数(PLT)237×109/L,诊断上呼吸道感染,氯林可霉素抗感染4 d,症状无缓解,并出现咳嗽,无痰,伴有右侧胸痛,体温最高升至40℃。转入我院急诊,给予头孢替安联合阿奇霉素治疗4 d,无效。转 Patient information Male patient, 29 years old. The main cause of “fever with cough 1 week ” in 2008-03-14 into our hospital respiratory department. Past health. One week before admission, the patient developed fever and no obvious respiratory symptoms. The WBC 8 × 109 / L (neutrophil 0.59) and platelet count (PLT) 237 × 109 / L in the outpatient department were diagnosed as upper respiratory tract infection , Clindamycin anti-infective 4 d, no symptoms, and cough, no sputum, accompanied by right chest pain, body temperature rose to 40 ℃. Into our hospital emergency department, given cefotiam azithromycin combined treatment 4 d, invalid. turn