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对多发性骨髓瘤误诊为急性间质性肾炎1例分析如下。1病历摘要男,56岁。因恶心呕吐20 d余入院。入院前20 d余前无明显诱因出现恶心呕吐,呕吐物为胃内容物,伴咳嗽、发热,无痰,体温不详,在当地应用罗红霉素、头孢曲松、病毒唑等治疗体温降为正常,但恶心呕吐无改善,胃镜示十二指肠?
A case of multiple myeloma misdiagnosed as acute interstitial nephritis analysis as follows. 1 medical record summary male, 56 years old. Due to nausea and vomiting more than 20 d admission. Pretreatment 20 d before no obvious incentive to nausea and vomiting, vomit for the stomach contents, with cough, fever, no sputum, body temperature unknown, the local application of roxithromycin, ceftriaxone, ribavirin and other treatment was reduced to Normal, but no improvement of nausea and vomiting, gastroscopy showed the duodenum?