Kwong Tsong, Coker Charles, Simpson Emma
Department of Urology, Royal Sussex County Hospital, Brighton, UK.
BMJ Case Rep. 2012 Dec 13;2012:bcr2012007570. doi: 10.1136/bcr-2012-007570.
We report the rare case of adult lobar nephronia in a 49-year-old female, on long-term steroids with no prior urological or transplant history. More frequently reported in paediatric literature, adult lobar nephronia (focal pyelonephritis) is an unusual radiological finding sometimes preceding the development of renal abscess. We advocate that treatment should be a prolonged course of antibiotics and close follow-up.
我们报告了一例罕见的成年女性大叶性肾球性肾炎病例,该49岁女性长期使用类固醇,既往无泌尿系统疾病或移植史。大叶性肾球性肾炎(局灶性肾盂肾炎)在儿科文献中报道较多,是一种不常见的影像学表现,有时先于肾脓肿出现。我们主张治疗应采用延长疗程的抗生素治疗并密切随访。