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一名患有常染色体显性多囊肾病的女性，其感染性肾囊肿伴有胸腔积液。

Infected renal cyst presented with pleural effusion in a woman with autosomal dominant polycystic kidney disease.

作者信息

Casillas-Sagrado Ester, Burguera Victor, Rioja-Martín Maria Eugenia, Rivera-Gorrín Maite

机构信息

Department of Nephrology, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Department of Nuclear Medicine, Hospital Universitario Ramon y Cajal, Madrid, Spain.

出版信息

Clin Kidney J. 2018 Apr;11(2):204-206. doi: 10.1093/ckj/sfx098. Epub 2017 Aug 31.

DOI:10.1093/ckj/sfx098
PMID:29644060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5888413/
Abstract

We present a 64-year-old woman with autosomal dominant polycystic kidney disease and hepatic cysts admitted to our hospital for high fever, intense coughing and right abdominal pain. The chest X-ray showed right pleural effusion suggestive of pneumonia. An abdominal ultrasound and computed tomography (CT) were done but did not show evidence of cyst infection or other abdominal complications. A gallium-67-citrate single-photon emission CT/CT, a relatively cheaper technique than positron emission tomography/CT was performed. This revealed an infected kidney cyst that was the cause of the right pleural effusion and fever.

摘要

我们收治了一名64岁患有常染色体显性多囊肾病和肝囊肿的女性患者，她因高热、剧烈咳嗽和右腹痛入院。胸部X光显示右侧胸腔积液，提示肺炎。进行了腹部超声和计算机断层扫描（CT）检查，但未发现囊肿感染或其他腹部并发症的迹象。采用了一种比正电子发射断层扫描/CT相对便宜的技术——枸橼酸镓-67单光子发射CT/CT。结果显示一个感染的肾囊肿，这就是右侧胸腔积液和发热的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffa/5888413/343fd75f0431/sfx098f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffa/5888413/343fd75f0431/sfx098f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dffa/5888413/343fd75f0431/sfx098f1.jpg

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Diagnostic Algorithm in the Management of Acute Febrile Abdomen in Patients with Autosomal Dominant Polycystic Kidney Disease.常染色体显性多囊肾病患者急性发热性腹痛管理中的诊断算法
PLoS One. 2016 Aug 16;11(8):e0161277. doi: 10.1371/journal.pone.0161277. eCollection 2016.
2
Cyst infection in autosomal dominant polycystic kidney disease: causative microorganisms and susceptibility to lipid-soluble antibiotics.常染色体显性多囊肾病中的囊肿感染：致病微生物及对脂溶性抗生素的敏感性
Eur J Clin Microbiol Infect Dis. 2015 Jul;34(7):1369-79. doi: 10.1007/s10096-015-2361-6. Epub 2015 Apr 8.
3
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