Olsson P J, Black J R, Gaffney E, Alexander R W, Mars D R, Fuller T J
South Med J. 1980 Mar;73(3):374-6. doi: 10.1097/00007611-198003000-00030.
We have described a case of reversible acute renal failure caused by acute pyelonephritis. In this entity, the kidneys are swollen by an interstitial infiltrate and edema, and white cell tubular casts and microabscesses may be present. Fractional excretion of sodium is high, and nephrotic proteinuria may occur without glomerular abnormalities. Recovery of renal function may occur if antibiotics are promptly instituted. Renal size generally decreases after recovery.
我们描述了一例由急性肾盂肾炎引起的可逆性急性肾衰竭病例。在这种情况下，肾脏因间质浸润和水肿而肿大，可能会出现白细胞管型和微脓肿。钠排泄分数较高，且可能出现肾病性蛋白尿而无肾小球异常。如果及时使用抗生素，肾功能可能会恢复。肾功能恢复后肾脏大小通常会缩小。
