堪萨斯分枝杆菌(M.Kansasii)引起肺和肺外感染共存罕见。我院1987年2月收治一病人,其肺、脑脊膜、心肌、皮肤、肾、滑膜腔及四个手指末端均受感染,全身中毒症状严重,经255天治疗,痊愈出院,现报告如下: 病人杨×女 15岁学生住院号6701 因咳嗽、盗汗、发烧两个月,于1987年2月4日入院。1986年12月上旬,病人因受凉后咳嗽,咯少量痰、流涕、咽痛、乏力。以感冒治疗,症状无缓解,出现不规则发热、关节痛、盗汗、纳差、消瘦。胸部透视诊断为“支气管炎”,经抗炎、止咳治疗无好转。1987年1月28日出现呕吐、嗜睡、头昏、心慌,心电图示窦性心动过速、偶发房早、室早、心肌受损。某院以心肌受损、支气管炎、胶原性疾病收入院,经抗炎、护心、支持疗法症状无改善,出现驰张热、咳嗽加重。2月2日胸片示双肺上中下有较密集之点状阴影,部分融合,2 M.Kansasii causes rare pulmonary and extrapulmonary infections to coexist. Our hospital admitted to a patient in February 1987, the lungs, meninges, myocardium, skin, kidney, synovial cavity and the end of the four fingers were infected with severe systemic symptoms, after 255 days of treatment, discharged, the report As follows: Patient Yang × female 15 years old student hospital number 6701 due to cough, night sweats, fever for two months, on February 4, 1987 admission. In early December 1986, the patient coughed by a cold, slightly sputum, runny nose, sore throat, fatigue. To cold treatment, no relief of symptoms, irregular fever, arthralgia, night sweats, anorexia, weight loss. Chest fluoroscopy diagnosis of “bronchitis”, the anti-inflammatory, cough treatment without improvement. January 28, 1987 vomiting, lethargy, dizziness, palpitation, ECG shows sinus tachycardia, sporadic room early, early ventricular myocardial damage. A hospital to myocardial damage, bronchitis, collagen disease income hospital, the anti-inflammatory, heart protection, no improvement in symptoms of supportive therapy, there Zhang Chi fever, increased cough. February 2 chest X-ray showed a more dense on the point of the shadow of the shadow, part of the fusion,