65-year-old male, previously fit. He was admitted to the clinic with chills and fever for 1 week 2021-January.
The patient developed weakness in the limbs while working in the field, and his temperature was measured at 39 degrees Celsius at the clinic, accompanied by chills, headache, a little dry cough, and vague abdominal pain. He was given ceftriaxone drip, but the effect was not good, and then transferred to the hospital for further treatment.
On examination: temperature 39.8 degrees C, heart rate 98 beats/min, respiration 20 breaths/min, blood pressure 148/80 mmhg. general condition was good, lung auscultation right lower lung a few wet rales. The rest did not show any significant abnormalities.
Ancillary tests: blood count: leukocytes 10.4410^9/l, lymphocytes absolute value 0.7410^9, crp 255mg/l, pct 1.357ng/l, saa >320mg/l. Liver function ALT AST mildly elevated, albumin 26.9g/l, electrolytes, renal function, respiratory pathogenic antibodies, rheumatology complete set, tumor screening. There were no significant abnormalities in electrolytes, renal function, respiratory pathogenic antibodies, rheumatology, vasculitis five, tumor screening, g test, gm test, virus complete set, Fertilizer test, liver, kidney and heart ultrasound. Sputum smear and sputum Culture did not show pathogenic bacteria.
Treatment: Junte 1g q8h+Collabridol 0.5 IV qd*5 days. Body temperature still fluctuates 38-39 degrees C. The patient’s body fatigue, cough and abdominal pain did not improve, and there was no significant change in the inflammatory index on rechecking. No improvement in right lower lung exudate on repeat chest X-ray.
Imaging examination.
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