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黄色肉芽肿性肾盂肾炎与气肿性肾盂肾炎:同一患者身上的两种罕见病症。

Xanthogranulomatous pyelonephritis, and emphysematous pyelonephritis: Two rare conditions in one patient.

作者信息

Mhmed Ali Rihan, Haidar Mariam

机构信息

Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.

出版信息

Ann Med Surg (Lond). 2021 Aug 23;69:102767. doi: 10.1016/j.amsu.2021.102767. eCollection 2021 Sep.

Abstract

INTRODUCTION

What makes this case unique are combined features of two rare renal disease processes in one patient within one kidney which are Xanthogranulomatous pyelonephritis,and emphysematous pyelonephritis.

CASE PRESENTATION

The patient had main general symptoms like fever, chills, fatigue,and right abdominal pain. He had urea = 77, White Blood Cells = 15,46, and urine culture was positive for Klebsiella. He had right total nephrectomy as a therapeutic intervention.

CONCLUSION

It is important to note that it could we have two diseases or more in one case related to one systemic organ so, we have to evaluate all possible causes of current status of the patient.

摘要

引言

该病例的独特之处在于,在一名患者的一个肾脏中合并了两种罕见的肾脏疾病过程,即黄色肉芽肿性肾盂肾炎和气肿性肾盂肾炎。

病例介绍

患者的主要全身症状为发热、寒战、疲劳和右腹痛。其尿素值为77,白细胞为15.46,尿液培养显示克雷伯菌呈阳性。作为治疗干预措施,患者接受了右肾全切术。

结论

需要注意的是,在一个与一个全身器官相关的病例中可能存在两种或更多种疾病,因此,我们必须评估患者当前状况的所有可能原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e51/8387895/eb9c18470772/gr1.jpg

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本文引用的文献

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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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