患者,男性,36岁,工人。主因发热,腰背部及四肢酸痛4天,于1995年12月17日入院。患者于1995年12月13日无明显原因发热,持续性高热,T39.5～40℃,伴腰背部及四肢酸痛、无力,对症处理无效,于1995年12月17日收入院。病后无明显头痛,无恶心呕吐,无咽痛咳嗽,无寒战,精神可,夜眠差。入院查体;T39℃,BP16.5/8.5kPa,发育营养中等,急性热病容,皮肤巩膜无黄染,头、颈部未见异常。心、肺未发现异常。肝脾未触及。双肾区叩击痛(+)。脊柱四 Patient, male, 36 years old, worker. Mainly because of fever, back and limbs and limbs for 4 days, on December 17, 1995 admission. Patients on December 13, 1995 no apparent cause of fever, persistent high fever, T39.5 ~ 40 ℃, with low back and limb pain, weakness, symptomatic treatment ineffective, in December 17, 1995 income hospital. No obvious headache after illness, no nausea and vomiting, no sore throat cough, no chills, mental, night sleep poor. Admission examination; T39 ℃, BP16.5 / 8.5kPa, the development of moderate nutrition, acute fever, skin sclera no yellow dye, no abnormalities in the head and neck. Heart, lungs found no abnormalities. Liver and spleen not touched. Kidney area percussion pain (+). Spine four