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一例肾脓肿病例报告:无危险因素的健康年轻女性中的罕见诊断。

A Case Report on Renal Abscess: Rare Diagnosis in a Healthy Young Female With No Risk Factors.

作者信息

Chamba Kadijah Nyosha, Sheridan Raymond

机构信息

General Medicine, Royal Devon and Exeter Hospital, Exeter, GBR.

出版信息

Cureus. 2023 Dec 6;15(12):e50069. doi: 10.7759/cureus.50069. eCollection 2023 Dec.

Abstract

Renal abscess is a rare complication of pyelonephritis known to be linked to recurrent urinary tract infections, anatomical abnormalities, obstruction, and the immunocompromised. Symptoms can be very nonspecific such as fever, chills, and abdominal or flank pain, which makes it more challenging to diagnose; however, this has been made easier with the help of medical imaging. Persistently spiking fevers despite antibiotics should prompt a review for possible abscess formation. We describe a case of renal abscess in a previously healthy young female with no risk factors who was successfully treated with antibiotics and radiologically guided percutaneous drainage.

摘要

肾脓肿是肾盂肾炎的一种罕见并发症,已知与复发性尿路感染、解剖异常、梗阻及免疫功能低下有关。症状可能非常不具特异性,如发热、寒战、腹部或侧腹疼痛,这使得诊断更具挑战性;然而,借助医学影像检查,诊断已变得更容易。尽管使用了抗生素,但持续高热应促使重新评估是否可能形成脓肿。我们描述了一例先前健康、无危险因素的年轻女性肾脓肿病例,该患者通过抗生素治疗及放射学引导下经皮引流成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d25/10704059/0f8230c3c913/cureus-0015-00000050069-i01.jpg

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