例1男,32岁,高热、头痛、咳嗽4天入院。体温40.5℃,脉搏102次/分。肝、脾均未扪及。WBC7.3×10~9/L,NO83、E0.01。诊断为“上感”。经一般治疗,三天后体温仍呈稽留热型。查体中发现左侧瞳孔>右侧,布氏征(+)。嗜酸性细胞绝对计数为0,肥达氏反应阴性(“O”、“H”均为1:40),血培养一次阴性,脑脊液检查阴性。入院第4天开始用“氟派酸”1.5/日,此间复查肥达氏反应“O”1:80。“H”1:40,血培养三次、 Example 1 Male, 32 years old, fever, headache, cough 4 days admitted. Body temperature 40.5 ℃, pulse 102 beats / min. Liver, spleen are palpable. WBC7.3 × 10 ~ 9 / L, NO83, E0.01. Diagnosed as “feeling”. After the general treatment, three days after the body temperature is still reserved hot type. Examination found in the left pupil> right, Brinell sign (+). Absolute eosinophil counts were 0, negative for Widalter’s reaction (“O”, “H” both 1:40), negative once in blood culture, and negative in cerebrospinal fluid. The first 4 days of admission with “flufenic acid” 1.5 / day, here to review the Widal response “O” 1:80. “H” 1:40, blood culture three times,