Vargas Puerto A, Alfageme Michavila I, Moreno Arrastio L, Beiztegui Sillero A, Barahona Martín M J, Campoy Martínez P
Sección de Neumologia, Hospital Universitario de Valme, Sevilla.
Rev Clin Esp. 1993 May;192(8):383-5.
Empyema of renal origin is very rare (3% in our series). We discuss 4 cases of empyemas associated to perirenal infection. Two of them were diabetic and all of them have renal lithiasis. They made their debut through pleural effusions, isolating Escherichia coli in all of them. Treatment was antibiotics and drainage in both foci, three of them evolved to healing and one of them died being the abdominal foci without drainage. This association must be suspected when no clear etiology of the empyema is present in patients with history of renal lithiasis and diabetes.
肾源性脓胸非常罕见（在我们的系列病例中占3%）。我们讨论了4例与肾周感染相关的脓胸病例。其中2例为糖尿病患者，所有患者均有肾结石。他们最初表现为胸腔积液，所有病例均分离出大肠杆菌。治疗方法是对两个病灶都使用抗生素并进行引流，其中3例病情好转，1例死亡，该例患者的腹部病灶未进行引流。对于有肾结石和糖尿病病史且脓胸病因不明的患者，必须怀疑存在这种关联。
