[一名40岁北非女性患者的亚急性肾损伤]

[Subacute kidney injury in a 40-year-old female Northern African patient].

作者信息

Chahoud-Schriefer T, Wiech T, Schäfer G, Harendza S

机构信息

III. Medizinische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.

Sektion Nephropathologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.

出版信息

Internist (Berl). 2021 Jul;62(7):772-776. doi: 10.1007/s00108-021-00964-8. Epub 2021 Feb 22.

DOI:10.1007/s00108-021-00964-8

PMID:33616674

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8260522/

Abstract

A 40-year old woman from Eritrea was admitted due to worsening renal function of unknown origin. The basic nephrologic workup provided no further information. Renal biopsy was performed and revealed acute interstitial nephritis (AIN) while no offending medication could be identified. Further investigations showed a recurrence of the urogenitary tuberculosis that had already been in 2015. The finding of AIN in the absence of a typical medical history should raise suspicion of infection-related forms or AIN associated with systemic diseases.

摘要

一名来自厄立特里亚的40岁女性因不明原因的肾功能恶化入院。基本的肾脏检查未提供更多信息。进行了肾活检，结果显示为急性间质性肾炎（AIN），但未发现致病药物。进一步检查发现泌尿生殖系统结核复发，该病曾在2015年出现过。在没有典型病史的情况下发现AIN应引起对感染相关类型或与全身性疾病相关的AIN的怀疑。