Xanthogranulomatous pyelonephritis in a renal allograft recipient.
Xanthogranulomatous pyelonephritis in a renal allograft recipient.
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DOI：
10.1016/s0272-6386(97)90092-5
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发表时间：
1997-12
期刊：
影响因子：
--
通讯作者：
H. Scarpero;J. Copley
中科院分区：
文献类型：
--
作者：
H. Scarpero;J. Copley
黄色肉芽肿性肾盂肾炎很少发生在移植肾。这是第五起报告的案件。诊断是通过肾活检，这是通常进行评估血清肌酐升高。相关患者的肾脏病理学无特异性，移植物超声和计算机断层扫描成像没有帮助，因为这将与自体肾黄色肉芽肿性肾盂肾炎。抗生素治疗的成功与否取决于就诊时的血清肌酐水平。因此，预后是谨慎的，常见的结局是不可逆的肾功能不全。
Xanthogranulomatous pyelonephritis rarely occurs in renal allografts. This is the fifth reported case. Diagnosis was made by renal biopsy, which is usually performed to evaluate an elevated serum creatinine. Associated patient symptomology is nonspecific, and graft imaging with ultrasonography and computed tomography was not helpful as it would be with native kidney xanthogranulomatous pyelonephritis. Successful treatment with antibiotics may depend on the serum creatinine at presentation. Prognosis, therefore, is guarded, with a common outcome of irreversible renal dysfunction.