男性,40岁,农民。突然畏寒发热4d伴头痛,全身肌肉痛,以腓肠肌痛为著,于8月中旬来诊。按"感冒"治疗,未见好转,3d后皮肤出现瘀斑、瘀点、巩膜黄染入...

作者: rantiku 人气: - 评论: 0
问题 男性,40岁,农民。突然畏寒发热4d伴头痛,全身肌肉痛,以腓肠肌痛为著,于8月中旬来诊。按"感冒"治疗,未见好转,3d后皮肤出现瘀斑、瘀点、巩膜黄染入院。体检:体温39.4℃,巩膜黄染,腹股沟淋巴结肿大,肝肋下2cm腓肠肌有明显压痛。化验:WBC25.2×10/L,N80%,血小板25×10/L,尿蛋白(++)尿红细胞2030/HP,血清总胆红素53.2μmol/L,最可能的诊断是
选项 A.流行性出血热 B.钩端螺旋体病 C.急性黄疸性肝炎 D.慢性肾炎急性发作 E.急性肾小球肾炎
答案 B
解析

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