病例摘要患者,男,30岁,因持续高热50天于1989年9月29日入院.50天前突然出现高热达40。C,不伴畏寒及盗汗,在乡医院就诊,按“上感”处理。无好转,其后两次来我院门诊,曾诊断“伤寒”、“败血症”,给激素,抗生素治疗,效果不佳.一周来腹胀,尿黄,柏油祥便,干咳,门诊做血培养无细菌生长,肥达氏反应阴性,以“发热待查”收住. Case Summary Male, 30 years old, admitted to hospital on September 29, 1989 due to a sustained high fever for 50 days. Suddenly, a fever of 40 occurred 50 days ago. C, not with chills and night sweats, treatment at the township hospital, according to the “sense of” treatment. No improvement, followed by two visits to our hospital, had diagnosed “typhoid fever”, “sepsis” to hormone, antibiotic treatment, the effect is not good. One week to abdominal distension, urine yellow, asphalt Cheung, dry cough, outpatient blood culture without Bacterial growth, Widal reaction negative, with “fever to be checked” to receive.