孤立性膀胱曲霉菌病作为非少尿型急性肾衰竭的主要表现。

Isolated bladder aspergillosis as the primary presentation of non-oliguric acute renal failure.

作者信息

Dervisoglu Erkan, Dikmen Emre, Filinte Deniz, Yilmaz Ahmet

机构信息

Department of Nephrology, School of Medicine, Kocaeli University, Kocaeli, Turkey.

出版信息

Scand J Urol Nephrol. 2008;42(2):189-91. doi: 10.1080/00365590701797465.

DOI:10.1080/00365590701797465

PMID:18365929

Abstract

A 70-year-old male patient with diabetes mellitus presented to our hospital with acute obstructive non-oliguric renal failure. Abdominal CT revealed obstructive hydronephrosis and irregular thickening of the bladder wall. Upon cystoscopy, samples of tissue were taken and found to be positive for Aspergillus spp. on histology, indicating infection of the bladder wall. The patient was treated successfully by means of a percutaneous nephrostomy and a 30-day course of caspofungin.

摘要

一名70岁男性糖尿病患者因急性梗阻性非少尿性肾衰竭入住我院。腹部CT显示梗阻性肾积水及膀胱壁不规则增厚。膀胱镜检查时取了组织样本，组织学检查发现曲霉菌属呈阳性，提示膀胱壁感染。该患者通过经皮肾造瘘术及30天的卡泊芬净治疗成功。