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“我的尿液里有鸡油!” 一例热带念珠菌引起的气肿性肾盂炎。

"I have chicken fat in my urine!" A case of Candida tropicalis induced emphysematous pyelitis.

作者信息

Alansari Ahmed, Borras Manuel Duran, Boma Noella

机构信息

Metropolitan Hospital Center, New York Medical College, New York 10029, USA.

出版信息

Med Mycol Case Rep. 2016 Feb 2;10:27-8. doi: 10.1016/j.mmcr.2016.01.004. eCollection 2015 Dec.

DOI:10.1016/j.mmcr.2016.01.004
PMID:26909246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4744336/
Abstract

A patient with uncontrolled diabetes mellitus presented with fever and flank pain. A computed tomography scan showed free air within both collecting systems. A diagnosis of emphysematous pyelitis was made after other alternative diagnoses were ruled out. Urine culture grew Candida tropicalis. The emphysematous pyelitis resolved with conservative management using antifungal therapy.

摘要

一名糖尿病控制不佳的患者出现发热和侧腹痛。计算机断层扫描显示两个集合系统内有游离气体。在排除其他可能的诊断后,确诊为气肿性肾盂炎。尿培养结果显示热带念珠菌生长。通过抗真菌治疗的保守管理,气肿性肾盂炎得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4532/4744336/afe467e3e66d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4532/4744336/bf33f4c1b9fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4532/4744336/afe467e3e66d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4532/4744336/bf33f4c1b9fc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4532/4744336/afe467e3e66d/gr2.jpg

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本文引用的文献

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Five patients with emphysematous pyelonephritis.五例气肿性肾盂肾炎患者。
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2
Is percutaneous drainage the new gold standard in the management of emphysematous pyelonephritis? Evidence from a systematic review.经皮引流是气肿性肾盂肾炎治疗的新金标准吗?一项系统评价的证据。
J Urol. 2008 May;179(5):1844-9. doi: 10.1016/j.juro.2008.01.019. Epub 2008 Mar 19.
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Emphysematous pyelonephritis.气肿性肾盂肾炎
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Percutaneous drainage and/or nephrectomy in the treatment of emphysematous pyelonephritis.经皮引流和/或肾切除术治疗气肿性肾盂肾炎。
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Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis.气肿性肾盂肾炎:临床放射学分类、治疗、预后及发病机制
Arch Intern Med. 2000 Mar 27;160(6):797-805. doi: 10.1001/archinte.160.6.797.