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首頁> 外文期刊>Military Medicine: Official Journal of AMSUS, The Society of the Federal Health Agencies >A 41-year-old active duty U.S. Air Force enlisted man with a 3-week history of fevers, arthralgias, and myalgias.
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A 41-year-old active duty U.S. Air Force enlisted man with a 3-week history of fevers, arthralgias, and myalgias.

機(jī)譯：一名41歲現(xiàn)役的美國空軍征召了一名有3周發(fā)燒，關(guān)節(jié)痛和肌痛病史的人。

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摘要

A 41-year-old active duty male was transferred to Walter Reed Army Medical Center in Washington, DC, for further evaluation of fever, rash, myalgias, arthralgias, and respiratory failure. An extensive evaluation with input from numerous subspecialties of medicine was performed. The patient was eventually diagnosed with adult Still's disease, which is a diagnosis of exclusion. This case illustrates the importance of having a broad differential diagnosis when evaluating a patient with fever of unknown origin, with emphasis on the approach to young, active duty military personnel.
機(jī)譯：一名41歲現(xiàn)役男性被轉(zhuǎn)移到華盛頓特區(qū)的沃爾特·里德陸軍醫(yī)療中心，以進(jìn)一步評(píng)估發(fā)燒，皮疹，肌痛，關(guān)節(jié)痛和呼吸衰竭。進(jìn)行了廣泛的評(píng)估，其中包含眾多醫(yī)學(xué)專業(yè)的意見。該患者最終被診斷出患有成人斯蒂爾氏病，這是一種排除診斷。這個(gè)案例說明了在評(píng)估不明原因發(fā)熱的患者時(shí)，必須進(jìn)行廣泛的鑒別診斷，尤其是針對(duì)年輕現(xiàn)役軍人的方法。

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