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[病例]男.28a,因右胁肋疼痛伴发热、皮疹lwk于1997年11月2日入院.患者既往体检无特殊病史.对青霉素及磺胺有过敏史.半月前因急性扁挑腺炎在外院iv gtt妥布霉素,用药5d后症状基本缓解.但患者于1997年10月28日出现全身乏力.发热(体温38℃)伴右胁肋部隐痛、全身皮肤可见散在分布的红色小丘疹,压之不裉色.患者曾到外院做血常规检查,结果白细胞7.6×10~9/L,中性0.68、淋巴0.32、RBC 4.12×10~12/L,胸片无异常.B超示轻度肝损伤.肝功能GPT 124U/L,余正常.外院疑诊“急性肝炎”转入我院.入院后给予保肝(VitC、肝泰乐、iv gtt能量)并做有关病原学方面的检查;结果:抗-HAV.lgM(—)、抗-HAV.IgG(—)、HBV.M(—)、抗-HCV(—)、抗-HDV.IgM(—)、抗-HGV.IgG(—)、抗-HEV.IgM(—)、抗-AIEV.IgG(—).
[Case] Male .28a, due to right flank pain with fever, rash lwk was admitted on November 2, 1997. Past medical history of patients with no special history of penicillin and sulfa allergy history of a half months ago due to acute flat-tipped adenitis outside The hospital iv gtt tobramycin, 5d after treatment, the symptoms were basically relieved, but patients with generalized weakness on October 28, 1997. Fever (body temperature 38 ℃) with the right flank pain, the body can be seen scattered scattered red papules , The pressure of the color is not.Patients have to outside the hospital for blood tests, the results of white blood cells 7.6 × 10 ~ 9 / L, neutral 0.68, lymphatic 0.32, RBC 4.12 × 10 ~ 12 / L, no abnormal chest X-ray Mild liver injury, liver function GPT 124U / L, more than normal outside the hospital suspect “acute hepatitis” transferred to our hospital after admission to give liver protection (VitC, liver Tailor, iv gtt energy) and do the etiology (-), anti-HCV (-), anti-HDV.IgM (-), anti-HGV.IgG (-), anti-HEV.IgM (-), anti-AIEV.IgG (-).