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出血性局灶性细菌性肾炎:灰阶超声及CT表现

Hemorrhagic focal bacterial nephritis: findings on gray-scale sonography and CT.

作者信息

Rigsby C M, Rosenfield A T, Glickman M G, Hodson J

出版信息

AJR Am J Roentgenol. 1986 Jun;146(6):1173-7. doi: 10.2214/ajr.146.6.1173.

DOI:10.2214/ajr.146.6.1173
PMID:3518368
Abstract

Five patients with acute focal bacterial nephritis and hematuria had sonographic and CT findings atypical for renal infection. Sonographically, each presented with an echogenic focus in the renal parenchyma. Noncontrast CT images showed an area of increased density in the corresponding segment of the kidney in three patients, mixed high and low density in one patient, and low density alone in the remaining patient. It is proposed that these appearances result from the presence of hemorrhage at different stages, associated with focal infection. Venous compromise is suggested as the etiology.

摘要

5例急性局灶性细菌性肾炎伴血尿患者的超声和CT表现不符合肾感染的典型表现。超声检查时,每例患者肾实质内均出现一个回声增强灶。3例患者的非增强CT图像显示肾脏相应节段密度增高,1例患者为高低密度混合,其余1例患者仅为低密度。据推测,这些表现是由不同阶段的出血与局灶性感染相关所致。病因提示为静脉受压。

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Hemorrhagic focal bacterial nephritis: findings on gray-scale sonography and CT.出血性局灶性细菌性肾炎:灰阶超声及CT表现
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CEN Case Rep. 2017 May;6(1):18-21. doi: 10.1007/s13730-016-0236-z. Epub 2016 Sep 24.
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Acute focal bacterial nephritis is associated with invasive diagnostic procedures - a cohort of 138 cases extracted through a systematic review.急性局灶性细菌性肾炎与侵入性诊断操作相关——通过系统评价提取的138例病例队列研究
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World J Radiol. 2014 Nov 28;6(11):865-73. doi: 10.4329/wjr.v6.i11.865.
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Korean J Urol. 2010 Apr;51(4):260-5. doi: 10.4111/kju.2010.51.4.260. Epub 2010 Apr 20.
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Ultrasonographic findings in acute renal infections.急性肾感染的超声检查结果
Int Urol Nephrol. 1995;27(1):19-25. doi: 10.1007/BF02575215.