在人类血病患者中出现半月细胞病变的IgA脏病:一个病例报告
Dongli Qi1, Ricong Yu1, Qijun Wan1
1Department of Nephrology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Frontiers in nephrology
|September 11, 2025
概括
布鲁塞洛斯感染可以导致脏疾病. 一名布鲁塞拉感染的男子患上IgA脏病,一种脏疾病,在接受抗生素治疗后完全消失.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 血病通常会影响多个器官系统.
- 淋巴细胞疾病是布鲁塞洛症的一个不常见的表现.
- 急性布鲁塞拉感染可能会出现各种症状,包括脏干扰.
研究的目的:
- 报告急性布鲁塞拉感染后发生的IgA腎病的病例.
- 综述和总结之前报告的布鲁塞拉相关的球球膜疾病病例.
- 提供关于布鲁塞洛सिस诱导脏疾病的临床诊断和管理的见解.
主要方法:
- 一个45岁的男性患有急性布鲁塞拉感染和随后的脏并发症的病例介绍.
- 使用牛津分类 (M1E0S0T0C2) 的脏活检分析.
- 对布鲁塞拉相关的球球状疾病现有文献的综述.
主要成果:
- 患者呈现出严重的血,蛋白尿,急性损伤,贫血和其他全身症状.
- 脏活检证实了带有部分新月的间增殖性IgA脏病.
- 在4个月的抗布鲁塞拉治疗后,病完全缓解.
结论:
- 急性布鲁塞拉感染可以导致IgA脏病与新月形病变.
- 抗乳球菌治疗有效地实现了与乳球菌相关的球体疾病的缓解.
- 这一案例凸显了在分泌体疾病的差异诊断中考虑乳头病的重要性.
相关概念视频
Acute Pyelonephritis II: Diagnostic Studies and Management
323
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
323
Nephrotic Syndrome I : Introduction
510
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
510
Acute Pyelonephritis I: Introduction
508
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
508
Nephrotic Syndrome II : Assessment and Medical Management
205
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
205
Renal Corpuscle
7.0K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
7.0K
Chronic Kidney Disease II: Clinical Manifestations
559
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
559


