Edelstein H E, McCabe R E, Lieberman E
Section of Infectious Diseases, Veterans Administration Medical Center, Martinez, California 94553.
Rev Infect Dis. 1989 Jul-Aug;11(4):569-77. doi: 10.1093/clinids/11.4.569.
The experience of four kidney transplantation programs from 1975 to 1986 was reviewed to determine the prevalence and clinical characteristics of perinephric abscess in renal transplant recipients. Seven cases were found, with a prevalence of 0.3% in 1,945 patients seen over a 12-year period in one program. Current prevalence appears markedly less than in older studies. Despite immunosuppression, signs and symptoms of perinephric abscess were prominent and included fever, flank and abdominal pain and tenderness, and abdominal mass. Perinephric abscesses were diagnosed 2 weeks to 52 months after transplantation and were associated with lymphoceles in two patients. Abdominal ultrasound and computed tomography were useful in diagnosis. Staphylococci (36%) and aerobic gram-negative rods (32%) were the most common pathogens in our seven patients combined with patients identified in a review of the English-language literature. Also of note were the presence of anaerobes (28%) and Candida albicans (4%). Therapy was successful in all of our seven patients.
回顾了1975年至1986年四个肾脏移植项目的经验，以确定肾移植受者肾周脓肿的患病率和临床特征。共发现7例，在一个项目12年期间诊治的1945例患者中患病率为0.3%。目前的患病率似乎明显低于以往的研究。尽管存在免疫抑制，但肾周脓肿的体征和症状仍很突出，包括发热、胁腹和腹痛及压痛，以及腹部肿块。肾周脓肿在移植后2周至52个月被诊断出来，两名患者与淋巴囊肿有关。腹部超声和计算机断层扫描对诊断很有用。在我们的7例患者以及一篇英文文献综述中确定的患者中，葡萄球菌（36%）和好氧革兰氏阴性杆菌（32%）是最常见的病原体。同样值得注意的是厌氧菌（28%）和白色念珠菌（4%）的存在。我们的7例患者治疗均成功。
