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脊柱裂、回肠代膀胱及肾钙质沉着症患者发生的尿路感染进展为肾周脓肿和脓胸。 (注:原文中“in a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema.”前面缺少引发尿路感染的病原体等关键信息,根据翻译要求只能按现有内容翻译)

Urinary Tract Infection Caused by in a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema.

作者信息

Stewart Zachary E, Shaker Mohammed, Baxter J David

机构信息

Memorial Health University Medical Center, Department of Internal Medicine, 4700 Waters Avenue, Savannah, GA 31404, USA.

出版信息

Urol Case Rep. 2017 Jan 5;11:22-24. doi: 10.1016/j.eucr.2016.11.013. eCollection 2017 Feb.

Abstract

Urological problems are common in spina bifida and are often treated with urinary diversions. Spina bifida and ileal conduits put patients at increased risk for ascending urinary tract infections. Here we present a novel case of a urinary tract infection complicated by a perinephric abscess with pleural extension. To our knowledge, no case of an ascending UTI progressing to peri-nephric abscess and empyema by direct extension exists in the literature.

摘要

泌尿系统问题在脊柱裂中很常见,通常采用尿流改道术进行治疗。脊柱裂和回肠造口术使患者发生上行性尿路感染的风险增加。在此,我们报告一例新型病例,即尿路感染并发肾周脓肿并累及胸膜。据我们所知,文献中尚无因上行性尿路感染直接蔓延进展为肾周脓肿和脓胸的病例。

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