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贝赫切特病伴双侧肾梗死,由毛霉菌引起。

Behçet's Disease with Bilateral Renal Infarction Due to Mucormycosis.

机构信息

Internal Medicine 3, Hamamatsu University School of Medicine, Japan.

Internal Medicine 1, Hamamatsu University School of Medicine, Japan.

出版信息

Intern Med. 2022 Apr 1;61(7):1077-1083. doi: 10.2169/internalmedicine.7462-21. Epub 2021 Sep 18.

Abstract

We herein report a case of Behçet's disease with renal infarction due to mucormycosis. A 76-year-old man with entero-Behçet's disease had been treated with glucocorticoid and tumor necrosis factor (TNF) inhibitors. His entero-Behçet's disease was refractory to these treatments, and ileocecal resection was performed. After the operation, renal infarction that was unresponsive to anticoagulation therapy developed. He ultimately died of renal failure due to renal infarction. At the autopsy, histopathology of abundant hyphae in the renal vessel wall revealed mucormycosis. Renal mucormycosis is an important cause of renal failure with renal infarction in immunocompromised patients.

摘要

我们在此报告一例由于毛霉菌病引起的贝赫切特病伴肾梗死。一名 76 岁男性患有肠型贝赫切特病,曾接受糖皮质激素和肿瘤坏死因子(TNF)抑制剂治疗。他的肠型贝赫切特病对这些治疗反应不佳,因此进行了回肠结肠切除术。手术后,出现了对抗凝治疗无反应的肾梗死。他最终因肾梗死导致肾衰竭而死亡。尸检时,肾血管壁中大量菌丝的组织病理学检查显示为毛霉菌病。肾毛霉菌病是免疫功能低下患者并发肾梗死导致肾衰竭的重要原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f98/9038466/e25cae2ed142/1349-7235-61-1077-g001.jpg

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