Noriega L M, González P, Pérez J, Canals C, Trucco C, Michaud P
Servicios de Medicina, Hospital Dr Sótero del Río y UDA de Medicina de la P Universidad Católica de Chile.
Rev Med Chil. 1995 Mar;123(3):334-40.
Urinary tract infections may have different clinical presentations that may range from asymptomatic bacteriuria to purulent collections and severe sepsis. We report 6 diabetic patients, 3 presenting with a renal carbuncle and 3 with an emphysematous pyelonephritis. All required medical and surgical treatment and had a good evolution. Two carbuncles were caused by beta- hemolytic type B streptococcus. This is the second notification of this agent as causative of renal abscesses, probably reaching the kidney through hematogenous dissemination from cutaneous foci.
尿路感染可能有不同的临床表现，范围从无症状菌尿到脓性积液和严重脓毒症。我们报告6例糖尿病患者，3例表现为肾痈，3例表现为气肿性肾盂肾炎。所有患者均需要药物和手术治疗，且病情转归良好。两例肾痈由B型β溶血性链球菌引起。这是该病原体作为肾脓肿病因的第二次报告，可能是通过皮肤病灶的血行播散到达肾脏。
