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急性大叶性肾球性肾炎:独特磁共振成像表现对诊断和治疗的价值

Acute lobar nephronia: value of unique magnetic resonance imaging findings in diagnosis and management.

作者信息

Yılmaz Kenan, Koç Gonca, Yel Sibel, Dursun İsmail, Doğanay Selim

机构信息

Division of Pediatric Nephrology, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey.

出版信息

Turk J Pediatr. 2015 Jan-Feb;57(1):105-8.

PMID:26613232
Abstract

Acute lobar nephronia (ALN) as a focal form of acute renal bacterial infection is a fairly rare entity. Although the treatment approaches differ considerably, ALN is clinically indistinguishable from renal abscess. Therefore, urinary imaging studies play a crucial role in accurate diagnosis and follow-up. Renal ultrasonography and computed tomography imaging findings have previously been reported; herein for the first time in the English-language literature, we report a case of a 5-year-old girl with ALN whose diagnosis was based upon magnetic resonance imaging findings.

摘要

急性大叶性肾炎(ALN)作为急性肾细菌感染的一种局灶性形式,是一种相当罕见的病症。尽管治疗方法差异很大,但ALN在临床上与肾脓肿难以区分。因此,泌尿系统影像学检查在准确诊断和随访中起着至关重要的作用。此前已有关于肾脏超声和计算机断层扫描成像结果的报道;在此,我们首次在英文文献中报告一例5岁患有急性大叶性肾炎的女孩,其诊断基于磁共振成像结果。

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1
Acute lobar nephronia: value of unique magnetic resonance imaging findings in diagnosis and management.急性大叶性肾球性肾炎:独特磁共振成像表现对诊断和治疗的价值
Turk J Pediatr. 2015 Jan-Feb;57(1):105-8.
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Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess?急性大叶性肾肾炎是否是上尿路感染中从急性肾盂肾炎到肾脓肿的一个中间阶段?
J Pediatr. 2010 Jan;156(1):82-6. doi: 10.1016/j.jpeds.2009.07.010.
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Effective ultrasonographic predictor for the diagnosis of acute lobar nephronia.
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Acute lobar nephronia: a case report.急性大叶性肾炎:一例报告。
Zhonghua Yi Xue Za Zhi (Taipei). 1993 Dec;52(6):408-12.
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[Acute lobar nephronia. Report of 3 new cases].[急性大叶性肾单位肾炎。3例新病例报告]
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Bilateral multifocal acute lobar nephronia caused by .由……引起的双侧多灶性急性大叶性肾单位肾炎。 (注:原文中“caused by”后面缺少具体病因内容)
BMJ Case Rep. 2018 Apr 5;2018:bcr-2018-224336. doi: 10.1136/bcr-2018-224336.
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Renal cortical abscess in a gravid female: US and MRI documentation.妊娠期女性肾皮质脓肿:超声和磁共振成像记录
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[Acute lobar nephronia: Diagnosis, treatment and prognosis].
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Thinking of Draining a Renal Abscess? Wait! - Could Be Acute Lobar Nephronia.考虑引流肾脓肿?等等!- 可能是急性肝叶性肾炎。
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引用本文的文献

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Clinical features of acute focal bacterial nephritis in adults.成人急性局灶性细菌性肾炎的临床特征。
Sci Rep. 2022 May 4;12(1):7292. doi: 10.1038/s41598-022-10809-5.
2
Acute lobar nephritis in children: Not so easy to recognize and manage.儿童急性大叶性肾炎:并非那么容易识别和处理。
World J Clin Pediatr. 2016 Feb 8;5(1):136-42. doi: 10.5409/wjcp.v5.i1.136.