Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK.
Nephrol Dial Transplant. 2011 Dec;26(12):4140-2. doi: 10.1093/ndt/gfr526. Epub 2011 Sep 16.
We describe the case of a 48-year-old man with an acute nephritis and respiratory failure. Clinical history, streptococcal antibody titres and renal biopsy led to a diagnosis of post-streptococcal glomerulonephritis. Respiratory investigations excluded pulmonary oedema and infection. We hypothesize that this man had a co-existing post-streptococcal glomerulonephritis and an immune-mediated pneumonitis. This is a very rare association, which was last described in 1982.
我们描述了一例 48 岁男性急性肾炎合并呼吸衰竭的病例。临床病史、链球菌抗体滴度和肾活检提示诊断为链球菌后肾小球肾炎。呼吸检查排除了肺水肿和感染。我们推测该患者同时患有链球菌后肾小球肾炎和免疫介导性肺炎。这是一种非常罕见的关联，上一次描述是在 1982 年。
