患者,男,67岁。因“发热伴左侧腰腹部疼痛5d”于2013年6月24日入院。既往关节炎、尿酸增高病史20年,阑尾炎病史5年,血小板减少病史2个月。该患者于6月20日无明显诱因出现发热,T 39.0~40.0℃,伴有左侧腰痛、腹胀,无腹泻、恶心呕吐、咳嗽咳痰,就诊于当地医院,检查提示左肾结石、左下肺感染,予以解痉、抗感染等治疗,效果不佳,患者仍有发热,并出现血小板减少,遂转入我 Patient, male, 67 years old. Due to “fever with left side of abdominal pain 5d ” was admitted on June 24, 2013. Previous arthritis, uric acid increased history of 20 years, appendicitis history of 5 years, history of thrombocytopenia 2 months. The patient on June 20 no obvious incentive to fever, T 39.0 ~ 40.0 ℃, with left lower back pain, abdominal distension, no diarrhea, nausea and vomiting, cough and sputum, visited the local hospital, examination showed that the left kidney stones, left lower lung Infection, to be antispasmodic, anti-infective treatment, the effect is not good, the patient is still fever, and thrombocytopenia, then transferred to me