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组织胞浆菌病是由于人体感染了由组织胞浆菌所致的霉菌病。流行范围较广,我们治疗一例,现报告如下。陈某,男性,18岁,未婚。因发热50d,伴乏力,腹胀,双下肢浮肿10d,于1993年7月7日入院。同年5月28日无诱因于中午出现畏寒、发热(体温37.4°~40℃之间),体温以下午2~3h为最高。6月3日在当地医院治疗,体温高达39℃以上,以下午、晚上为最高。当地按伤寒、败血症治疗无效(先后用氯霉素、青霉素钠盐、氨苄青霉素、丁胺卡那等)。于7月5日在我院急诊科诊治,体温波动于41°~42℃之间,为双峰热型。病人进行性头昏、乏力而收入住院,起病以来,无咳嗽、胸痛。无关节酸痛,二便正常。既往
Histoplasmosis is due to human infection with mycosis caused by histoplasmosis. A wider range of prevalence, we treat a case, are as follows. Chen, male, 18 years old, unmarried. Due to fever 50d, with fatigue, bloating, lower extremity edema 10d, on July 7, 1993 admission. May 28 the same year, no incentive to appear at noon chills, fever (body temperature 37.4 ° ~ 40 ℃), body temperature in the afternoon 2 ~ 3h is the highest. June 3 in the local hospital for treatment, body temperature up to 39 ℃ above, in the afternoon, evening is the highest. According to typhoid fever, sepsis treatment ineffective (chloramphenicol, penicillin sodium, ampicillin, amikacin, etc.). On July 5 in our hospital emergency department diagnosis and treatment, body temperature fluctuations between 41 ° ~ 42 ℃, bimodal thermal type. Patients with progressive dizziness, fatigue and income hospitalization, since onset, no cough, chest pain. No joint pain, two will be normal. Past