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患者女性,42岁。因反复发热和寒战4天住院。体检:血压140/70mmHg,体温39.9℃,脉搏100次/分,下腹部有轻度触痛,心脏无杂音,无水肿,余正常。既往有癫痫发作和中度高血压病。病前服用苯妥英钠、苯巴比妥和双氢克尿塞。首次化验:血红蛋白12.7克%,血细胞比积37.9%,白细胞计数15,000/mm~3,多形核90%,血小板正常。尿pH值6.0,比重1.010,蛋白定量100mg/100ml,镜检白细胞25～30个、红细胞15～20个/高倍视野,并见多条粗糙粒状染色管型和至少有2个红细胞管型。尿培养阴性。胸部X线摄片和心电图正常。血
Patient female, 42 years old. Due to repeated fever and chills 4 days hospitalization. Physical examination: blood pressure 140 / 70mmHg, temperature 39.9 ℃, pulse 100 beats / min, mild tenderness in the lower abdomen, no noise in the heart, no edema, more than normal. Past seizures and moderate hypertension. Preperation with phenytoin sodium, phenobarbital and hydrochlorothiazide. The first test: hemoglobin 12.7 grams, 37.9% hematocrit, leukocyte count 15,000 / mm ~ 3, polymorphonuclear 90%, platelet normal. Urine pH 6.0, specific gravity 1.010, protein quantification 100mg / 100ml, microscopic examination of leukocytes 25 to 30, red blood cells 15 to 20 / high power field, and see a number of rough granular dye tubes and at least two red blood cell tubes. Negative urine culture. Chest X-ray and normal ECG. blood