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非结核分枝杆菌感染患者的急性肾损伤:一例报告

Acute kidney injury in a patient with nontuberculous mycobacterial infections: a case report.

作者信息

Brener Zachary Z, Zhuravenko Igor, Bergman Michael

机构信息

Department of Medicine, Nephrology Division, Beth Israel Medical Center, University Hospital of Albert Einstein Medical Center, 350 East 17th Street, 18th Floor, New York, NY, 10003, USA.

出版信息

Cases J. 2009 Jan 23;2(1):83. doi: 10.1186/1757-1626-2-83.

Abstract

Nontuberculous mycobacterial infections are an increasingly recognized cause of chronic lung disease in both immunocompromised and immunocompetent patients. Pre-existing lung disease, alcohol abuse, diabetes mellitus, malignancy, and smoking have been identified as important risk factors in nontuberculous mycobacterial infections, with only few cases of Nontuberculous mycobacterial infection in renal failure patients, mostly on peritoneal dialysis. However, acute kidney injury associated with atypical mycobacterial infection is a very rare clinical event. To our knowledge, the present patient is the first case of acute kidney injury in a patient with documented nontuberculous mycobacterial infection. Our case is also a first report of Mycobacteria avium complex and Mycobacteria gordonae isolated simultaneously from individual patient with nontuberculous mycobacterial disease.

摘要

非结核分枝杆菌感染在免疫功能低下和免疫功能正常的患者中,越来越被认为是慢性肺病的病因。先前存在的肺部疾病、酗酒、糖尿病、恶性肿瘤和吸烟已被确定为非结核分枝杆菌感染的重要危险因素,肾衰竭患者中非结核分枝杆菌感染病例很少,大多是腹膜透析患者。然而,与非典型分枝杆菌感染相关的急性肾损伤是一种非常罕见的临床事件。据我们所知,本患者是首例有记录的非结核分枝杆菌感染并发急性肾损伤的病例。我们的病例也是首例关于从非结核分枝杆菌病患者个体中同时分离出鸟分枝杆菌复合群和戈登分枝杆菌的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f62/2652426/4b0cc8aa1433/1757-1626-2-83-1.jpg

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