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女，19岁，8月15日来诊。一周前由安徽来京，次日开始发冷、寒战、发热、头痛，有出汗，近两天发过一次高热

，持续数小时伴头痛，出汗后退热，精神佳，可以进食，血白细胞数6.5×109/L，中性粒细胞60%，淋巴细胞40%，血红蛋白100g/L，最可能的诊断是

A．急性血吸虫病

B．疟疾

C．流行性乙型脑炎

D．败血症

E．伤寒

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第4题

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