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1 病例资料 患者男性,有2月余无明显诱因发热入院。体温在38～41℃之间波动,肺部感染,肝脾肿大,呈慢性消耗病容。使用多种抗菌素治疗无效。检查 Hb90～100g/L ,WBC4.5～7.1×10~9/L,取静脉血及骨髓涂片检查,从中检出组织胞浆菌孢子(Histoplasmosis),明确诊断后,分别经大蒜素。两性霉素B、酮康唑(Ketoconazole,又名Nigoral)为广谱抗真菌药。治疗2月余,痊愈后出院。2 检验方法 抽取静脉血2ml离心沉淀出白细胞层,取出涂片,骨髓常
1 case data male patients, there are no obvious incentive for fever and admission in February. Body temperature fluctuated between 38 ~ 41 ℃, pulmonary infection, hepatosplenomegaly, showed chronic consumption of disease. Treatment with multiple antibiotics is ineffective. Check Hb90 ~ 100g / L, WBC4.5 ~ 7.1 × 10 ~ 9 / L, venous blood and bone marrow smears were taken from the detection of histoplasmosis spores (Histoplasmosis), a clear diagnosis, respectively, allicin. Amphotericin B, ketoconazole (Ketoconazole, also known as Nigoral) for the broad-spectrum antifungal agents. After more than 2 months of treatment, he was discharged after healed. 2 test method venous blood 2ml centrifugal precipitation of leukocyte layer, remove the smear, bone marrow often