High K P, Quagliarello V J
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06510.
Clin Infect Dis. 1992 Jul;15(1):128-33. doi: 10.1093/clinids/15.1.128.
We report a case of yeast perinephric abscess and review 11 other published cases. This rare entity occurs primarily in patients who have diabetes mellitus, who have recently undergone surgery, or who have urinary tract obstruction. The clinical illness is often subacute or chronic with nonspecific symptoms. Candida and Torulopsis species are the reported etiologic agents. Successful therapy usually consists of percutaneous or surgical drainage of the abscess. Overall mortality is 25%; however, no patient in this series died as a direct result of perinephric infection.
我们报告一例酵母性肾周脓肿病例，并回顾其他11例已发表的病例。这种罕见疾病主要发生于糖尿病患者、近期接受手术者或尿路梗阻患者。临床疾病常为亚急性或慢性，症状不具特异性。报道的病原体为念珠菌属和球拟酵母菌属。成功的治疗通常包括经皮或手术引流脓肿。总体死亡率为25%；然而，本系列中无患者因肾周感染直接死亡。
