Goral S, Stone W
Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Am J Med Sci. 1997 Nov;314(5):354-6. doi: 10.1097/00000441-199711000-00017.
A hemodialysis patient with insulin-dependent diabetes mellitus and a non-functioning renal allograft in whom fever, low blood pressure, and confusion developed is reported. She underwent extensive evaluation and allograft nephrectomy for emphysematous pyelonephritis that was diagnosed by the presence of air in the collecting system of the transplanted kidney during computerized tomography of the abdomen. In nine patients with emphysematous pyelonephritis in renal allografts reported previously, this is the first instance of emphysematous pyelonephritis in a renal allograft with coagulase-negative staphylococcus.
报道了一名患有胰岛素依赖型糖尿病且同种异体肾移植无功能的血液透析患者，该患者出现发热、低血压和意识模糊。她接受了全面评估，并因气肿性肾盂肾炎接受了同种异体肾切除术，腹部计算机断层扫描显示移植肾集合系统内有气体，从而诊断出气肿性肾盂肾炎。在先前报道的9例同种异体肾移植气肿性肾盂肾炎患者中，这是首例由凝固酶阴性葡萄球菌引起的同种异体肾移植气肿性肾盂肾炎。
