碱性结痂性肾盂炎和膀胱炎：一种易被漏诊且危及生命的泌尿系统感染。
Alkaline-encrusted pyelitis and cystitis: an easily missed and life-threatening urinary infection.
作者信息
Lieten Siddhartha, Schelfaut Dan, Wissing Karl Martin, Geers Caroline, Tielemans Christian
机构信息
Department of Nephrology & Hypertension, Universitair Ziekenhuis Brussel, Brussels, Belgium.
出版信息
BMJ Case Rep. 2011 Mar 29;2011:bcr1220103613. doi: 10.1136/bcr.12.2010.3613.
Abstract
Alkaline-encrusted pyelitis is a urinary infection characterised by encrustations in the wall of the urinary tract. It is caused by fastidious growing urea splitting microorganisms mainly Corynebacterium group D2. The diagnosis is easily missed and should be evoked on basis of sterile pyuria, alkaline urine pH and calcifications of the urinary excretion ways on the CT scan and then confirmed by prolonged culture on appropriate media. The authors report here the case of a patient who died after a delayed diagnosis from recurrent septic urinary infections.
摘要
碱性结痂性肾盂炎是一种泌尿系统感染，其特征为尿路壁出现结痂。它由生长缓慢的尿素分解微生物引起，主要是D2群棒状杆菌。该诊断很容易被漏诊，应根据无菌性脓尿、尿液pH值呈碱性以及CT扫描显示尿路排泄途径有钙化来考虑，并通过在合适培养基上进行长时间培养来确诊。本文作者报告了一例患者，因复发性败血症性泌尿系统感染诊断延误而死亡。
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