Clarke P D, Amos R S, Edwards C W, Geddes A M
Postgrad Med J. 1977 Jan;53(615):49-50. doi: 10.1136/pgmj.53.615.49.
A case of histiocytic medullary reticulosis in a 45-year-old man is described. The presentation with a swinging pyrexia is typical. Associated features were very low levels of all immunoglobulins and proved disseminated intravascular coagulation. Heparin therapy was given and the difficulties of controlling such treatment are demonstrated. It is concluded that an increased awareness of the condition as a cause of pyrexia might lead to an improvement in prognosis.
本文描述了一名45岁男性组织细胞性髓性网状细胞增多症的病例。以弛张热为表现很典型。相关特征为所有免疫球蛋白水平极低,并证实存在弥散性血管内凝血。给予了肝素治疗,并展示了控制这种治疗的困难。结论是,提高对该病症作为发热原因的认识可能会改善预后。