主诉与现病史 患者为20余岁男性，因难治性癫痫持续状态入院，予以需气管插管及机械通气。抽搐停止拔管后，出现呼吸机相关性肺炎（病原体：鲍曼不动杆菌，对黏菌素敏感），予黏菌素治疗（300万IU，q8h）。病情初步改善后，改用无创通气（NIV）（全面罩，平均10

病史： 患者为41岁男性，因双侧踝关节肿胀和多次晕厥就诊。4.5个月前出现劳力性呼吸困难和胸骨后烧灼感，外院CT未见异常，但冠状动脉造影显示右冠状动脉严重狭窄，置入支架后症状缓解。10天前出现发热、肌痛、关节痛（腕、踝）及散在瘀斑，SARS-CoV-2检测

Case 23-2024: A 37-Year-Old Man with Fever, Myalgia,Jaundice,and Respiratory Failure N Engl J Med 2024;391:1343-54.（DOI: 10.1056

Case 5-2023: A 67-Year-Old Man with Interstitial Lung Disease, Fever, and Myalgias N Engl J Med 2023;388:642-50.（doi: 10.1056/NE

Case 22-2024: A 30-Year-Old Woman with Postpartum Fever,Abdominal Pair and Skin Ulcers N Engl J Med 2024;391:260–271.（DOI:

Case 23-2024: A 78-Year-Old Woman with Rapidly Progressive Dementia N Engl J Med 2024;391:357-69.（DOI: 10.1056/NEJMcpc2402488） 主

Atypical presentation of Lemierre’s syndrome caused by penicillin- susceptible Staphylococcus aureus in a patient with chronic s

Case 11-2024: An 82-Year-Old Woman with Falls and Cognitive Decline N Engl J Med 2024;390:1312-22.(DOI: 10.1056/NEJMcpc2312725)

Case 8-2024: A 55-Year-Old Man with Cardiac Arrest, Cardiogenic Shock, and Hypoxemia N Engl J Med 2024 Mar 14;390(11):1030-1043.

A 15-Year-Old Girl with Abdominal Pain and an Ovarian Mass N Engl J Med 2023;389:750-8 (DOI:10.1056/NEJMcpc2211422) 病史 患者，15岁女孩，