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患者女性,53岁,因发热1月余,于1996年6月20日入院。患者1月余前无明显诱因出现发热(体温37.5～38℃),以午后多见,偶有咳嗽,无痰,并伴双下肢麻木感。检查:T 38.2℃,P 82次/min,R 20次/min,BP12/8kPa,神志清,精神稍软,胃纳一般,睡眠佳,大小便正常。口腔上膊粘膜有少量出血点,心肺听诊正常,左中腹可触及5cm×4cm肿块,质硬,轻压痛,表面较光滑。血WBC 13.3×10~9/L,N 0.86,L 0.14,Hb 105g/L;尿红细胞+,白细胞少量;血沉132mm/h;抗HBs和抗HBc抗体阳性;抗核抗体阴性;肾功能正常。胸片示左上局限性密度增高影;CT检查示左肾肿瘤。入院10天后行左肾切除术,病理检查报告:(左侧)肾肉芽肿
Female patient, age 53, was admitted to hospital on June 20, 1996 due to fever more than one month. Patients before January no obvious incentive to fever (body temperature 37.5 ~ 38 ℃), more common in the afternoon, occasional cough, no sputum, and accompanied by lower limb numbness. Check: T 38.2 ℃, P 82 times / min, R 20 times / min, BP12 / 8kPa, clear mind, the spirit of a little soft, satisfied stomach, good sleep, normal urine. Mouth mucosa on the mouth a small amount of bleeding, auscultation cardiopulmonary normal, left middle abdomen can reach 5cm × 4cm mass, hard, light tenderness, the surface is relatively smooth. Blood WBC 13.3 × 10 ~ 9 / L, N 0.86, L 0.14, Hb 105g / L; urinary red blood cells +, leukocytes in a small amount; erythrocyte sedimentation rate 132mm / h; anti-HBs and anti-HBc antibody positive; anti-nuclear antibody negative; Chest X-ray showed upper limit of density increased shadow; CT showed renal tumors. Ten days after admission, left nephrectomy, pathological examination report: (left) kidney granuloma