病历摘要患者女 ,44岁 ,住院号 148936。因发热、肌肉关节痛 2个月于 1999年 6月 10日入院。患者于 2个月前无明显诱因出现发热 ,体温高达 39.5℃ ,无发冷 ,伴肌肉、关节痛 ,以膝关节为著 ,颈部、腋窝及腹股沟发现肿大的淋巴结。曾用先锋霉素、环丙沙星治疗 3周无效 ,在当地医? Medical record Summary Female patient, 44 years old, hospital number 148936. Due to fever, muscle and joint pain for 2 months in June 10, 1999 admission. The patient developed fever no apparent predisposition 2 months ago, with body temperature as high as 39.5 ° C, no chills, muscle, joint pain, swelling of the neck, armpits, and groin in the knee, groin, and lymph nodes. Has used cephalosporins, ciprofloxacin treatment for 3 weeks is invalid, in the local medical?