Katsiari M, Nikolaou C, Roussou Z, Triantopoulou C, Apessou D, Platsouka Ed, Maguina A
Intensive Care Unit, Konstantopouleio General Hospital, Athens, Greece.
Hippokratia. 2012 Oct;16(4):381-3.
Acute pyelonephritis is a potentially organ-damaging and life-threatening infection. A 37-year old woman was admitted to Intensive Care Unit in septic shock and multi-organ failure due to acute pyelonephritis with systemic bacterial dissemination caused by a quinolone-resistant Escherichia coli. The patient, a previously healthy woman, reported recurrent episodes of urinary tract infection in the previous 3 years, which were treated with quinolones. Treatment course with broad-spectrum antimicrobial agents reversed her septic shock and multi-organ failure. However, pyelonephritis progressed to intrarenal and perirenal abscesses formation. The patient fully recovered after surgical removal of the infected kidney.
急性肾盂肾炎是一种可能损害器官并危及生命的感染。一名37岁女性因耐喹诺酮的大肠杆菌引起的急性肾盂肾炎伴全身细菌播散，以感染性休克和多器官衰竭被收入重症监护病房。该患者此前身体健康，报告在过去3年中有复发性尿路感染，曾用喹诺酮类药物治疗。使用广谱抗菌药物的治疗过程逆转了她的感染性休克和多器官衰竭。然而，肾盂肾炎进展为肾内和肾周脓肿形成。患者在手术切除感染的肾脏后完全康复。
