Modai D, Pik A, Behar M, Eidelman A, Averbukh Z, Weissgarten J, Gabizon D, Rosenmann E
Clin Nephrol. 1985 Apr;23(4):198-202.
A 15 year old boy with chronic impetigo was admitted with severe acute oliguric renal failure requiring temporary dialytic treatment. Renal biopsy revealed typical diffuse and proliferative glomerulonephritis of the poststreptococcal type. Subsequently high temperature developed with flank pains at the biopsy site, concomitantly with deterioration of renal function. On exploration, a sterile perirenal hematoma was found and a wedge renal biopsy revealed crescentic rapidly progressive glomerulonephritis of the post infectious type. Deterioration to end stage renal failure occurred within a few months. Although universally accepted, biopsy proven evolution from diffuse proliferative and exudative glomerulonephritis to crescentic form of post streptococcal glomerulonephritis has been rarely reported.
一名患有慢性脓疱病的15岁男孩因严重急性少尿性肾衰竭入院，需要进行临时透析治疗。肾活检显示为典型的链球菌感染后型弥漫性增生性肾小球肾炎。随后，活检部位出现高热并伴有侧腹痛，同时肾功能恶化。经检查，发现无菌性肾周血肿，楔形肾活检显示为感染后型新月体性快速进展性肾小球肾炎。几个月内病情恶化为终末期肾衰竭。虽然普遍公认，但经活检证实从弥漫性增生性和渗出性肾小球肾炎演变为链球菌感染后肾小球肾炎的新月体形式的情况鲜有报道。
