姬××,女,25岁,陕西米脂人,学员,住院号58974。以发热半月,语言错乱5天于1978年10月20日入院。患者发病后高热持续不退,伴有头痛,全身不适,食纳差,门诊一直误诊为“重感冒”。从第10病日起,出现言语错乱,语无伦次,狂躁,病前有精神刺激史(家族中无精神病患者,患者非弱神经型体质),又被误为“精神病”。体检:体温38.4℃,脉搏136次/分,血压110/60毫米汞柱。精神失常,意识模糊,接触不良,有违拗感及视听幻觉及迫害性妄想,情感紧张不安,易动,周围定向差,自我定向尚可,自知力丧失。舌红,苔厚腻,颈软。心肺无明显异常,肝脾未触及,神经系统无异常发 Ji × ×, female, 25 years old, Shaanxi Mizhi people, trainees, hospital number 58974. To fever half a month, language confusion five days in October 20, 1978 admission. After the onset of fever in patients with persistent, with headache, malaise, poor appetite, out-patient has been misdiagnosed as “a cold.” From the 10th day onwards, speech disorder, incoherent, manic, premorbid mental stimulation history (no psychosis in the family, patients with non-neuromuscular constitution), was mistaken for “mental illness.” Physical examination: body temperature 38.4 ℃, pulse 136 beats / min, blood pressure 110/60 mm Hg. Mental disorders, confusion, poor contact, contrary to the sense of inconsistencies and audio-visual hallucinations and persecution paranoia, emotional nervousness, easy to move around the poor orientation, self-orientation is acceptable, loss of self-knowledge. Red tongue, thick thick greasy, neck soft. No significant abnormal heart and lung, liver and spleen not touched, nervous system without abnormal hair