为了杀死葡萄酒:一种罕见的Xanthogranulomatous Pyelonephritis病例,复杂的Emphysematous Pyelonephritis
Brandon Simons1, Aaron Geril1, Amir Hedayati1
1Department of Radiology, University of Central Florida College of Medicine, Orlando, Florida, USA.
Case reports in radiology
|December 1, 2025
概括
桑托格兰诺瘤性皮叶龙炎 (XPN) 和腹膜性皮叶龙炎 (EPN) 很少一起发生. 这一案例突显了它们在非糖尿病患者中同时发生的情况,这表明阻塞和感染可以在没有高血糖的情况下引起气体形成的感染.
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
- 放射学 放射学是指放射学
背景情况:
- 桑托格兰瘤性炎 (XPN) 是一种罕见的慢性脏感染,与结石和复发性尿路感染有关.
- 脑膜炎 (Emphysematous pyelonephritis,简称EPN) 是一种更为罕见的带有内气的死性感染,通常在失控的糖尿病中出现.
- 同时XPN和EPN异常罕见.
研究的目的:
- 报告一种非常罕见的同时发生的Xanthogranulomatous pyelonephritis和Emphysematous pyelonephritis的病例.
- 讨论这种同时发生在euglycemic患者中的含义.
- 强调认知严重脏感染的非典型表现的重要性.
主要方法:
- 一个61岁的女性身边疼痛和全身症状的案例介绍.
- 使用腹部CT进行诊断成像,以确定XPN和EPN的特征.
- 尿培养和随后的切除术与抗菌药物治疗.
主要成果:
- 扫描显示了水,鹿角结石,熊标志 (XPN特征) 和内气体 (EPN特征).
- 尿培养鉴定出了Proteus mirabilis. 这是一种神奇的生物.
- 经过切除术和抗生素治疗后,患者康复了.
结论:
- 这一案例证明了XPN和EPN在没有糖尿病的患者中罕见的同时发生.
- 它支持这样一个假设,即慢性阻塞和感染可以导致气体形成的感染,独立于高血糖症.
- 早期识别和手术治疗对于异常呈现的严重脏感染至关重要.
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