IgA肾病合并急性肾盂肾炎  

IgA nephropathy accompanied with acute pyelonephritis

作　　者：徐峰 曾彩虹 XU Feng;ZENG Caihong(National Clinical Research Center of Kidney Diseases,Jinling Hospital,Nanjing University School of Medicine,Nanjing 210016,China)

机构地区：[1]东部战区总医院,国家肾脏疾病临床医学研究中心,全军肾脏病研究所,南京210016

出　　处：《肾脏病与透析肾移植杂志》2020年第1期88-92,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

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。A 46-year-old 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 anti-infective 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.

关 键 词：IGA肾病 肾小管间质性肾炎 急性肾盂肾炎 肾活检 

分 类 号：R692.3[医药卫生—泌尿科学]