女,8岁。四个月前因持续高热二周伴关节痛在外院确诊为类风湿病用激素治疗(强的松1.5mg/kg/日)。后家长自行减少激素用量至停药共服用一个月,改用阿斯匹林、蛇制品治疗三个月。期间关节痛及发热仍有发作,终于因持续发热二周伴呕吐二天入我院治疗。入院体检:T 39℃,面色较苍白,全身浅表淋巴结无肿大。咽稍充血。心率108次/分, Female, 8 years old. Four months ago, he was diagnosed with rheumatoid hormone therapy (prednisone 1.5 mg / kg / day) at the outpatient setting for sustained high fever and two weeks of joint pain. After the parents to reduce the amount of hormones to stop taking a total of one month, switch to aspirin, snake products for three months. During the joint pain and fever are still seizures, and finally for two days with persistent fever vomiting into our hospital for two days. Admission medical examination: T 39 ℃, looking pale, systemic superficial lymph nodes without swelling. Throat slightly hyperemia. Heart rate 108 beats / min,