Bilingualcasediscussion2015-09-11A35-year-oldmanwithdyspnea,anemia,andrenalfailure•severalweeksago,thepatientfeltfatigue.Twodaysbeforeadmission,dyspneadeveloped,decreasedurination,withoutfever,cough,orchestpain,nohemoptysis咯血,chills,nightsweats,headaches,visualloss,dryeyes,drymouth,orjointpain.•Hewastransferredbyambulancetotheemergencydepartmentatthishospital•Fouryearsbeforeadmission,hehadbeenevaluatedbecauseofbackpain,fatigue,andatemperatureof38.6°C.Urinalysisshowedhematuria血尿andproteinuria；testingforrapidplasmareagin(RPR快速血浆反应素)waspositiveforantibodiestoTreponemapallidum（梅毒螺旋体）.•Duringtheprevious6months,thepatienthadhadepisodesof...
