病历摘要患儿女,15岁,因发烧、乏力、纳差25天,尿黄、皮肤黄10天入院。患儿于25天前无明显诱因发烧,发烧前无寒颤,体温高达39℃伴头晕,发烧1周左右,全身出现皮疹,痒感明显,2～3日后消退。此时全身酸痛,踝部疼痛尤甚,并轻度肿胀。自发病后食欲降低,饭后腹胀、厌油。近10天来小 Medical records Summary Children, 15 years old, due to fever, fatigue, anorexia 25 days, urine yellow, skin yellow 10 days admission. Children with no obvious cause of fever 25 days ago, fever without chills, fever up to 39 ℃ with dizziness, fever for about 1 week, the whole body rash, itchy sensation, 2 to 3 days after the subsided. At this point body aches, ankle pain even worse, and mild swelling. Loss of appetite since onset, bloating after meals, tired of oil. Nearly 10 days to small