Kolko A, Brevet F, Mougenot B, Pagniez D, Fleury D, Vanhille P
Service de Médecine Interne et Néphrologie, Centre Hospitalier Général, Valenciennes.
Nephrologie. 1994;15(1):17-20.
Two patients with acute renal failure and streptococcal erysipela are reported. In both cases, renal biopsy showed acute interstitial nephritis with a predominantly mononuclear infiltrate. Beta lactam antibiotic without steroid therapy was followed by complete recovery of renal function. It seems likely that some cases of AIN related to infection are erroneously attributed to antibiotic hypersensitivity.
报告了2例急性肾衰竭合并链球菌性丹毒的患者。在这两例病例中,肾活检均显示急性间质性肾炎,主要为单核细胞浸润。在未使用类固醇治疗的情况下,给予β-内酰胺类抗生素后,肾功能完全恢复。似乎某些与感染相关的急性间质性肾炎病例被错误地归因于抗生素过敏。