Department of Medicine, St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, MA.
Division of Nephrology, Tufts Medical Center, Boston, MA.
Am J Kidney Dis. 2014 Jan;63(1):113-8. doi: 10.1053/j.ajkd.2013.09.010. Epub 2013 Oct 30.
We report the case of a 69-year-old man who presented with acute kidney injury in the setting of community-acquired Clostridium difficile-associated diarrhea and biopsy-proven acute oxalate nephropathy. We discuss potential mechanisms, including increased colonic permeability to oxalate. We conclude that C difficile-associated diarrhea is a potential cause of acute oxalate nephropathy.
我们报告了一例 69 岁男性病例，该患者在社区获得性艰难梭菌相关性腹泻的情况下出现急性肾损伤，并经活检证实为急性草酸肾病。我们讨论了潜在的机制，包括草酸在结肠中的通透性增加。我们得出结论，艰难梭菌相关性腹泻是急性草酸肾病的潜在病因。
