[A case of emphysematous pyelonephritis combined with xanthogranulomatous pyelonephritis].
[A case of emphysematous pyelonephritis combined with xanthogranulomatous pyelonephritis].
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气肿性肾盂肾炎合并黄色肉芽肿性肾盂肾炎1例[J].
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
N. Morita
中科院分区：
文献类型：
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作者：
A. Moriya;K. Kubota;N. Morita
报告1例肺气肿性肾盂肾炎，组织学检查为黄色肉芽肿性肾盂肾炎。一位49岁女性病患因腹部超音波检查显示左肾肿胀并有气体回音而由内科转介至我科。计算机断层扫描显示左肾有大量肺气肿。虽然已经用广谱抗生素和免疫球蛋白进行了积极的治疗，但低热和左腰痛仍在继续。此后，她接受左肾切除术，组织学检查结果显示黄色肉芽肿性肾盂肾炎。在日本文献中报告了27例肺气肿性肾盂肾炎。多见于中年女性，85%合并糖尿病。E.大肠杆菌和克雷伯菌属是主要致病菌。死亡率为26%。本报告为日本首例合并黄色肉芽肿性肾盂肾炎的病例。我们建议适当的化疗和及时的手术治疗，以获得良好的效果。
A case of emphysematous pyelonephritis, xanthogranulomatous pyelonephritis histologically, is reported. A 49-year-old female patient was referred to our department from the department of internal medicine because abdominal ultrasonography demonstrated left renal swelling with gas echo. Computed tomographic scan showed much emphysema in the left kidney. Although aggressive treatment with broad spectrum antibiotics and immunoglobulin had been performed, subfever and left lumbago continued. Thereafter, she underwent left nephrectomy, and histological findings revealed xanthogranulomatous pyelonephritis. In the Japanese literature 27 cases of emphysematous pyelonephritis have been reported. Many cases are in middle-aged females and 85% of these cases complicated with diabetes mellitus. E. coli and Klebsiella was the main causative organism. The mortality of this disease was 26%. This report is the first case combined with xanthogranulomatous pyelonephritis in Japan. We recommend adequate chemotherapy and timely surgical treatment for good results.