查詢結果分析
相關文獻
- Renal Parenchymal Malakoplakia Presented as a Refractory Urinary Tract Infection and a Renal Tumor--A Case Report and Review
- 經皮腎臟切片檢查
- 新生兒泌尿道感染
- Randomized, Double-blind, Comparative Study of Levofloxacin and Ofloxacin in the Treatment of Complicated Urinary Tract Infections
- 健康新解--蔓越莓抑制泌尿道感染
- 氣腫性腎盂腎炎--10病例分析和文獻回顧
- Partical Nephrectomy for Incidental Primary Renal Neuroendocrine Carcinoma: Case Report
- Urinary Tract Infection in Children
- 腎臟病的常用檢查和腎臟切片
- 新生兒的泌尿道感染與迴流
頁籤選單縮合
題名 | Renal Parenchymal Malakoplakia Presented as a Refractory Urinary Tract Infection and a Renal Tumor--A Case Report and Review=以難治性泌尿道感染併腎腫瘤表現之腎實質軟化斑痕--病例報告與回顧 |
---|---|
作者 | 鍾慧明; 余燦榮; 邢福柳; 林瑞偉; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷期 | 9:1 1998.03[民87.03] |
頁次 | 頁45-49 |
分類號 | 415.74 |
關鍵詞 | 軟化斑痕; 腎切除; 腎臟切片; 泌尿道感染; 腎腫瘤; Malakoplakia; Nephrectomy; Renal biopsy; Urinary tract infection; Renal tumor; |
語文 | 英文(English) |
中文摘要 | 茲報告一66歲老年女性,過去患有糖尿病、高血壓,以嚴重大腸桿菌尿路敗血症 表現。腎臟超音波及腹部電腦斷層發現右腎腫大,併有一低密度腫瘤于右腎下部。雖經過了 抗生素(Rocephine+Amikacin)長期治療,該病患仍高燒不退。在右腎腫瘤合併尿路感染的診 斷下,遂實行右腎全切除術。病人術後恢復良好,病理診斷為腎實質軟化斑痕,其診斷特徵 乃Michailis-Gutmann body。 軟化斑痕乃一罕見之發炎病患,最常發生于泌尿道,常合併有桿菌感染。最初是在1902 年由一病理學家診斷出來,然在泌尿界卻很少受到注意,其確實原因至今仍有爭議,但似乎 與巨噬細胞內吞食細菌的轉機發生缺陷有關。 腎實質軟化斑痕在過去造成相當高的致病率和致死率,特別是在雙側腎疾的病例,因為 其診斷通常是在手術引流或切除腎臟才由病理學診斷出來。 近年來,陸續有報告使用細胞內穿透力的抗生素如trimethoprim,ciprofloxacin或 chloramphenicol,可獲致最好的結果。此病例若能先行腎穿刺診斷,並給予正確的抗生素治 療,也許可免除腎切除。 |
英文摘要 | We report a 66-year-old female patient, with diabetes mellitus presenting with E. Coli urosepsis. Abdomind computerized tomography revealed an enlarged right kidney with a lower pole tumor of hypodensity. Despite seemingly appropriate, antimicrobial treatment with Rocephine plus Amikacin didn't work and the patient continued to have a daily fever. So, radical nephrectomy was undertaken under the impression of a renal tumor with infection. The PATient had an uneventful recovery. A pathologist defined the diagnosis of renal parenchymal malakoplakia, characterized by Michaelis-Gutmann bodies. Malakoplakia is rare inflammatory disorder seen most often in the urinary tract. Although first recognized by pathologists in 1902, it has received little attention from the urological profession. The specific cause is uncertain but may include altered immune response, dysfunction of histiocytes and undigested bacterial fragments as the nidus for mineralizing Michaelis-Gutmann bodies. Renal parenchymal malakoplakia has traditionally been associated with high morbidity and mortality, because it is usually diagnosed pathologically after surgical intervention. More recently, treatment with antibiotics such as trimethoprim, ciprofloxacin, and chloramphenicol, which are cappble of intracellular such as trimethoprim, ciprofloxacin, and chlorramphenicol, which are capable of intracellular pentration, has yielded a better outcome than other therapies which had been documented. Nephrectomy might have been avoided if renal biopsy had been performed to confirm malakoplakia, and proper antibiotics had been used. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。