１临床资料患者，女，５２岁。高热伴皮疹３周，少尿２ｄ，以“急性肾功能衰竭”急诊收治入院。患者无明显诱因出现高热，体温３８．５～４０．０℃，伴全身皮疹。外院给予环丙沙星、红霉素等抗感染治疗，症状无好转。入院前２ｄ，患者突然出现嗜睡、谵妄、牙龈出血，进行... 1 clinical data patients, female, 52 years old. High fever with rash 3 weeks, oliguria 2d, with “acute renal failure” emergency admission admitted. No obvious incentive for patients with fever, body temperature 38.5 ~ 40.0 ℃, with systemic rash. The hospital gave ciprofloxacin, erythromycin and other anti-infective treatment, no improvement in symptoms. 2d before admission, patients suddenly appear lethargy, delirium, bleeding gums, carried out ...