一、诊断问题根据情况,初步排除当地常见的疟疾和钩端螺旋体病。疟疾:恶性疟疾常是不规则发热。但本组病例发热10多天,无贫血,脾脏未触及,2例服氯喹治疗无效,特别是在发热期间多次涂厚、薄血片均未查到疟原虫。钩端螺旋体病:病人发热、全身肌肉疼痛、腓肠肌触痛,在当地应考虑本病。但发 First, the diagnosis of According to the situation, initially ruled out common local malaria and leptospirosis. Malaria: Malignant malaria is often irregular fever. However, patients in this group had fever for more than 10 days without anemia and spleen not touched. Two cases were ineffective with chloroquine treatment, especially in the case of multiple thick smears and thin blood films during the fever. Leptospirosis: the patient fever, body muscle pain, gastrocnemius tenderness, the local should consider the disease. But hair