1病例资料患者,男,71岁,因“咳嗽咳痰1周,发热4 h”入院。入院前1周无明显诱因出现咳嗽咳痰,咳淡黄色黏痰,伴咽部不适,入院4 h前患者出现发热,最高体温38.5℃,于当地医院输阿奇霉素抗感染,症状未见明显缓解,为进一步治疗收入院。既往高血压病22年,慢性肾炎14年,AL型淀粉样变性肾病4年(曾应用马法兰、激素、雷公藤多苷片治疗,现服用醋酸泼尼松片10 mg 1 case data patients, male, 71 years old, because of “cough and sputum for 1 week, fever 4 h ” admission. One week before admission, there was no obvious incentive for cough and sputum, cough and pale viscous phlegm, with pharyngeal discomfort. Patients were fever 4h before admission, the highest temperature was 38.5 ℃ .In the local hospital, azithromycin wasinfected and the symptoms were not relieved. Revenue hospital for further treatment. 22 years of previous hypertension, chronic glomerulonephritis 14 years, AL amyloidosis nephropathy for 4 years (once the application of melphalan, hormone, Tripterygium glycosides tablet treatment, is taking prednisone acetate tablets 10 mg