患者，男，１４岁。因发热、咳痰、浮肿４个月入院。入院前４个月无诱因发热，体温３８．０℃，咳痰，量不多，伴有眼睑及双下肢浮肿。外院检查：尿蛋白５００mg／L，血清白蛋白３０g／L，胸部CT提示右肺上叶结节性病变，诊为“肾病综合征，右肺上叶结核”，给予抗炎抗痨对症治 Patient, male, 14 years old. Due to fever, expectoration, edema 4 months admission. 4 months before admission, no incentive fever, body temperature 38.0 ℃, sputum, the amount of small, accompanied by eyelids and lower extremity edema. Outside the hospital: urinary protein 500mg / L, serum albumin 30g / L, chest CT prompted the right upper lung nodular lesions, diagnosed as “nephrotic syndrome, right upper lobe tuberculosis”, anti-inflammatory anti-tuberculosis symptomatic treatment