嗜血细胞.ppt

an 18-year-old man with fever, abdominal pain, and thrombocytopenia rmbsatpi:n血小板减少 n engl j med 374;2 january 14, 2016,an 18-year-old man was admitted to this hospital because of fever and pain in the lower abdomen, groin, and scrotum. bdmn groin grn 腹股沟 scrotum skrtm 阴囊,the patient had been well until 4 days before admission, when fatigue, subjective fever, and chills developed.,the next day, he began having headaches, nonbloody emesis, diarrhea, decreased appetite,and low back pain emesis emss 呕吐,on the day before admission, he was able to drink only one glass of water without vomiting. his mother brought him to the emergency department of this hospital. he reported dry mouth, eye pain when he was febrile, and light-headedness. febrile fi:bral 发热,he had a history of exercise-induced asthma and had been hospitalized during early childhood for diarrhea. he took no medications and had no known medication allergies.immunizations were current. asthma sm 哮喘 allergy ldi 过敏,he lived with his mother, stepfather, and brother in an urban area of new england and attended high school. he was born in central america, had moved to the united states at 15 years of age, and had not traveled outside the country since that time. the family had frequent visitors from central america.,ct and bone marrow-biospsy,fi