Schiff M, Glickman M, Weiss R M, Ahern M J, Touloukian R J, Lytton B, Andriole V T
Ann Intern Med. 1977 Sep;87(3):305-8. doi: 10.7326/0003-4819-87-3-305.
Renal carbuncles in seven young males were successfully treated with long-term administration of penicillinase-resistant antibiotics. Selective renal arteriography provided an accurate means of diagnosis and permitted a trial of medical therapy. All patients experienced a prompt and sustained clincial remission; surigical exploration was thus obviated in all but one instance, in which post-treatment radiographic changes persisted.
七名年轻男性的肾痈通过长期使用耐青霉素酶的抗生素成功治愈。选择性肾动脉造影提供了一种准确的诊断方法,并允许进行药物治疗试验。所有患者均迅速且持续地临床缓解;因此,除了一例治疗后影像学改变持续存在的情况外,其余所有患者均无需进行手术探查。