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病例22-2017:一名发热、头痛和肌痛的21岁女性
Case 22-2017 — A 21-Year-Old Woman with Fever, Headache, and Myalgias


Jacqueline T. Chu ... 其他 • 2017.07.20

陈述


Nkemdilim Mgbojikwe医师(内科):一名21岁女性因发热、头痛和肌痛在冬季被收入院。

该患者此前一直健康状况良好,但入院前4天发生发热、寒战、疲劳、不适、眶后头痛和畏光。到她曾经就读过的大学的附属诊所就诊时,她自诉6天前才从印度尼西亚旅行回来。疟疾的血涂片检查结果呈阴性,该患者被建议服用对乙酰氨基酚和布洛芬。在随后的2天中,她的症状进一步恶化,出现左下腹痛和膝关节痛。在发病第3天,她到另一家医院的急诊科就诊。





作者信息

Jacqueline T. Chu, M.D., Rydhwana Hossain, M.D., Frederic J. Silverblatt, M.D., Emily P. Hyle, M.D., and Sarah E. Turbett, M.D.
From the Departments of Medicine (J.T.C., E.P.H.), Radiology (R.H.), and Pathology (S.E.T.), Massachusetts General Hospital, and the Departments of Medicine (J.T.C., E.P.H.), Radiology (R.H.), and Pathology (S.E.T.), Harvard Medical School — both in Boston; and the Department of Medicine, Alpert School of Medicine, Brown University, Providence, RI (F.J.S.).

 

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