患者，男性，50岁。因发热伴咽癌20余天就诊。体温39℃，呈弛张热，伴有全身乏力，肢体酸病，吞咽困难，咳少许白粘痰，以青霉素钠盐静滴10天、病情无好转，发热咽癌加重。摄胸片示两肺弥漫性分布大小不一票粒状阴影，疑急性粟粒型肺结核于1994年1月10日入院。入院体检：重病容 Patient, male, 50 years old. Due to fever with pharyngeal cancer more than 20 days treatment. Body temperature 39 ℃, was remittent fever, accompanied by generalized weakness, limb acidosis, swallowing difficulties, cough a little white phlegm, intravenous infusion of penicillin sodium 10 days, no improvement in the condition, fever, pharyngeal cancer worsened. Chest radiograph showed diffuse distribution of the size of the two non-voting grainy shadow, suspected acute miliary tuberculosis in January 10, 1994 admission. Admission medical examination: seriously ill