肾脏病与透析肾移植杂志
• 论文 • 上一篇 下一篇
出版日期:
发布日期:
Online:
Published:
摘要： 46岁女性患者,临床表现为寒战、发热、腰痛、尿频、尿急、尿痛,解茶色小便,伴血清肌酐升高,实验室检查发现尿白细胞阳性,中段尿培养大肠埃希菌阳性。经抗感染治疗后症状明显缓解,但仍存在较多蛋白尿和镜下血尿,肾活检组织学为IgA肾病,伴肾小管间质性肾炎,结合临床,考虑IgA肾病合并肾盂肾炎。
关键词: IgA肾病, 肾小管间质性肾炎, 急性肾盂肾炎, 肾活检
Abstract: A 46yearold female presented with chills,fever,lumbago,urinary frequency,urinary urgency,dysuria,resolve brown urine,and elevated serum creatinine,Laboratory tests found positive for urinary white blood cells,and urine culture was positive for Escherichia coli.Symptoms were significantly relieved after antiinfective treatment,but proteinuria and microscopic hematuria were still present.Renal biopsy revealed IgA nephropathy,with tubulointerstitial nephritis.The final diagnosis was IgA nephropathy comply with tubulointerstitial nephritis associated with pyelonephritis.
徐峰,曾彩虹. IgA肾病合并急性肾盂肾炎[J]. 肾脏病与透析肾移植杂志, DOI: 10.3969/j.issn.1006-298X.2020.01.0018.
XU Feng,ZENG Caihong. IgA nephropathy accompanied with acute pyelonephritis[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, DOI: 10.3969/j.issn.1006-298X.2020.01.0018.
0 / / 推荐
导出引用管理器 EndNote|Ris|BibTeX
链接本文: http://www.njcndt.com/CN/10.3969/j.issn.1006-298X.2020.01.0018
http://www.njcndt.com/CN/Y2020/V29/I1/88
