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1病历摘要患者,男性,57岁,因发热伴全身皮疹10余天入院。患者3月前确诊为HIV阳性,1月前予以高效抗逆转录病毒治疗(HAART)治疗,方案为3TC(拉米夫定)+AZT(齐多夫定)+NVP(奈韦拉平),服药2周后即10余天前病人出现全身皮疹,皮疹为充血性、弥漫性斑丘疹,最初见于四肢,后迅速蔓延至全身,伴间断发热,体温波动于38-40℃,收入我科。入院查体:T39℃,R22次/分,P 98次/分,BP 125/75mmHg,神志清楚,精神萎靡,表情痛
1 medical records summary, male, 57 years old, due to fever with systemic rash more than 10 days admission. The patient was diagnosed HIV positive 3 months ago and treated with HAART 1 month ago with 3TC (lamivudine) + AZT (zidovudine) + NVP (nevirapine) for 2 weeks More than 10 days after the patient showed systemic rash, rash as congestive, diffuse maculopapular, initially seen in the limbs, spread rapidly to the body, with intermittent fever, body temperature fluctuations at 38-40 ℃, income in our department. Admission examination: T39 ℃, R22 times / min, P 98 beats / min, BP 125 / 75mmHg, conscious, apathetic, facial pain