Kröpfl D, Behrendt H, Ringert R H, Eickenberg H U
Infection. 1980;8 Suppl 3:S 303-4.
A 45-year-old man with multiple abscesses caused by Salmonella typhi murium in the left kidney is presented. The patient had bilateral polycystic renal degeneration and terminal renal insufficiency. The illness manifested itself clinically as a case of septicaemia which did not respond to antibiotic treatment, and pain in the left flank. There was concomitant haematuria. The patient was treated with dicumarol for thrombosis of the Chimino shunt. The symptoms receded following nephrectomy. The patient is to be considered cured in the absence of positive findings in the urine, blood, sputum, gastric juices or faeces.
本文介绍了一名45岁男性患者,其左肾因鼠伤寒沙门氏菌感染出现多处脓肿。该患者患有双侧多囊肾变性及终末期肾功能不全。临床表现为败血症,对抗生素治疗无反应,伴有左侧胁腹疼痛及血尿。患者因奇米诺分流术血栓形成接受双香豆素治疗。肾切除术后症状消退。鉴于尿液、血液、痰液、胃液或粪便检查均无阳性发现,该患者可视为治愈。