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題名 | Xanthogranulomatous Pyelonephritis Complicated by Emphysematous Pyelonephritis: A Case Report and Review of the Literature=黃色肉芽腫腎盂腎炎併發氣腫性腎盂腎炎:一病例報告及文獻回顧 |
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作者 | 黃國清; 黃建鐘; 陳芬芬; 程盟夫; 曾進忠; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷期 | 17:3 2003.08[民92.08] |
頁次 | 頁144-147+159 |
分類號 | 415.8135 |
關鍵詞 | 黃色肉芽腫性腎盂腎炎; 氣腫性腎盂腎炎; 尿路結石; 經皮導管引流; 腎切除術; Emphysematous pyelonephritis; Xanthogranulomatous pyelonephritis; Urolithiasis; Percutaneous catheter drainage; Nephrectomy; |
語文 | 英文(English) |
英文摘要 | Xanthogranulomatous pyelonephritis (XGPN) is a rare, chronic pyelonephritis with yellowish multiple abscesses. Emphysematous pyelonephritis (EPN) is a rare, acute necrotizing and gas-forming renal infection. XGPN combined with EPN is very rarely seen. A 36-year-old female suffered from recurrent fever and left-side flank pain for one year and general malaise for one month. Renal ultrasonography showed a tumor-like lesion with a staghorn stone in the left kidney. Abdominal computed tomography showed a staghorn stone and gas-trapping in pyonephrosis, which converged on the collecting system in the left kidney. Pus culture from percutaneous catheter drainage yielded Proteus mirabilis and Viridans streptococcus. Therefore, XGPN complicated by EPN was diagnosed. Despite prolonged antibiotic use, pus discharge still persisted. Finally, the patient agreed to accept left nephrectomy, with a good surgical outcome. Renal pathology confirmed XGPN with superimposed acute infection. |
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