病例介绍 患者女性,47岁,1978年1月3日入院。病史:近两年反复发生左侧腰痛,并有尿频、尿痛等症状。4个月前出现间断性发热,每次持续1周左右,体温最高39℃。发热时经抗菌素及对症处理好转。发病前无全身感染或化脓性病灶。本人及家属无结核史。入院检查:神经系统检查无特殊发现。血、尿常规检查正常。血沉率70毫米/小时。入院后作分泌性肾盂造影、胸部X线拍片、骨 Case description Female patient, 47 years old, admitted to hospital on January 3, 1978. History: recurrent left back pain in the past two years, and frequent urination, dysuria and other symptoms. 4 months ago intermittent fever, each lasting about 1 week, the body temperature up to 39 ℃. Anti-fever and symptomatic treatment improved when fever. No systemic infection or purulent lesions before onset. Myself and their families have no history of tuberculosis. Admission examination: No specific neurological examination found. Blood, urine routine examination was normal. ESR rate of 70 mm / hour. After admission for secretory pyelography, chest X-ray film, bone