患者王××,女性,18岁.主诉畏寒发热4天.4天来上午体温高达39℃以上,下午降至37℃左右,咽部有异物感,伴鼻塞、流涕、轻度咳嗽及腹泻。无便秘、厌油、盗汗及关节疼痛史,无尿频尿急尿痛史。门诊化验血:白细胞4.5×10~9/L,中性粒细胞0.70,淋巴0.30.尿:蛋白++,红细胞++,白细胞 Patient Wang × ×, female, aged 18. Chief complaint chills and fever 4 days. 4 days morning temperature as high as 39 ℃ above, afternoon down to about 37 ℃, throat foreign body sensation, with nasal congestion, runny nose, mild cough and diarrhea. No constipation, tired of oil, night sweats and joint pain history, urinary frequency urinary urgency dysuria history. Outpatient laboratory blood: white blood cells 4.5 × 10 ~ 9 / L, neutrophils 0.70, lymph 0.30. Urine: protein ++, red blood cells ++, white blood cells