传染性单核细胞增多症中的肾衰竭
Renal failure in infectious mononucleosis.
作者信息
Lowery T A, Rutsky E A, Hartley M W, Andreoli T E
出版信息
South Med J. 1976 Sep;69(9):1212-5. doi: 10.1097/00007611-197609000-00032.
An 18-year-old man developed generalized lymphadenopathy and interstitial renal disease which progressed to irreversible renal failure. Serologic studies evidenced the recent onset of infectious mononucleosis, and prior exposure to Epstein-Barr virus was demonstrated. Lymph node, liver, and renal biopsies showed mononuclear cell infiltration consistent with infectious mononucleosis. Although renal involvement in infectious mononucleosis rarely is severe, an association between infectious mononucleosis and renal failure is suggested in this patient.
一名18岁男性出现全身淋巴结肿大和间质性肾病，病情进展为不可逆的肾衰竭。血清学研究证实近期感染传染性单核细胞增多症，且显示既往曾接触过EB病毒。淋巴结、肝脏和肾脏活检显示单核细胞浸润，符合传染性单核细胞增多症表现。虽然传染性单核细胞增多症很少严重累及肾脏，但该患者提示传染性单核细胞增多症与肾衰竭之间存在关联。
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