一名糖尿病患者并发气肿性肾盂肾炎和肾阿米巴病。

Emphysematous pyelonephritis and renal amoebiasis in a patient with diabetes mellitus.

作者信息

Guvel Sezgin, Kilinc Ferhat, Kayaselcuk Fazilet, Tuncer Ilhan, Ozkardes Hakan

机构信息

Department of Urology, Baskent University, Adana Teaching and Medical Research Center, Adana, Turkey.

出版信息

Int J Urol. 2003 Jul;10(7):404-6. doi: 10.1046/j.1442-2042.2003.00642.x.

DOI:10.1046/j.1442-2042.2003.00642.x

PMID:12823698

Abstract

Emphysematous pyelonephritis is an uncommon and life-threatening infection of the kidney that is characterized by gas formation within or around the kidney and is associated with diabetes mellitus and urinary tract infection. Amoebiasis is a protozoal infection caused by Entamoeba histolytica. In its invasive forms, the disease is characterized by visceral abscess formations. We present a case of concomitant emphysematous pyelonephritis and renal amoebiasis in a 42-year-old female with uncontrolled diabetes mellitus. The patient did not respond well to initial supportive treatment and antibiotherapy. Therefore, nephrectomy was performed. She did extremely well after the operation and was discharged with antidiabetics and antibiotics.

摘要

气肿性肾盂肾炎是一种罕见且危及生命的肾脏感染，其特征是在肾内或肾周形成气体，并与糖尿病和尿路感染有关。阿米巴病是由溶组织内阿米巴引起的原生动物感染。在其侵袭性形式中，该病的特征是内脏脓肿形成。我们报告一例42岁患有未控制糖尿病的女性同时患有气肿性肾盂肾炎和肾阿米巴病的病例。患者对初始支持治疗和抗生素治疗反应不佳。因此，进行了肾切除术。术后她恢复得非常好，出院时带了抗糖尿病药物和抗生素。