Pulik M, Lionnet F, Genet P, Petitdidier C, Vacher B
Department of Haematology, Centre Hospitalier d'Argenteuil, France.
Support Care Cancer. 1995 Sep;3(5):324-6. doi: 10.1007/BF00335312.
We report a previously unrecognized complication of totally implanted subcutaneous ports. A patient with a totally implantable central venous device developed a septic syndrome. Blood and injection-reservoir cultures grew Staphylococcus aureus. There was no evidence of endocarditis. The port was removed but acute oliguric renal failure developed. A percutaneous renal biopsy showed acute diffuse proliferative glomerulonephritis. There was no extracapillary crescent. On immunofluorescence study, capillary wall granular deposits stained brightly for IgG and C3. These findings were thought to be consistent with infection-associated immune-complex glomerulonephritis.
我们报告了一种以前未被认识到的完全植入式皮下端口并发症。一名植入完全可植入式中心静脉装置的患者出现了败血症综合征。血液和注射储液器培养物中培养出金黄色葡萄球菌。没有心内膜炎的证据。端口被移除，但随后出现了急性少尿性肾衰竭。经皮肾活检显示急性弥漫性增生性肾小球肾炎。没有毛细血管外新月体形成。免疫荧光研究显示，毛细血管壁颗粒状沉积物对IgG和C3染色呈强阳性。这些发现被认为与感染相关的免疫复合物性肾小球肾炎相符。
