Clarke Jack, Hemachandra Imal, Pickles Robert, Raman Avi
John Hunter Hospital, Lookout Road, New Lambton Heights, NSW, 2305, Australia.
Urol Case Rep. 2024 Oct 5;57:102863. doi: 10.1016/j.eucr.2024.102863. eCollection 2024 Nov.
The genitourinary system is affected in 10 % of patients with Brucellosis infection. However, renal abscess (or Brucelloma) is remarkably rare. Only 6 case reports have been described in the literature. A 34-year-old male presenting with back pain, fever and thick-walled abscess of the left kidney on computerised tomography. Subsequent blood cultures isolated . He was treated conservatively with an extended course of antibiotics and his abscess subsequently reduced in size. We propose that uncomplicated Renal Brucelloma under 30mm in size can be treated conservatively with extended antibiotic course and follow up.
在布鲁氏菌病感染患者中，10%的患者泌尿生殖系统会受到影响。然而，肾脓肿（或布鲁氏瘤）极为罕见。文献中仅描述了6例病例报告。一名34岁男性，出现背痛、发热，计算机断层扫描显示左肾有厚壁脓肿。随后血培养分离出…… 他接受了延长疗程的抗生素保守治疗，其脓肿随后缩小。我们建议，直径小于30mm的单纯性肾布鲁氏瘤可通过延长抗生素疗程并进行随访来保守治疗。
