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病例报告患者女性.57岁,因厌食、肌痛、寒战、腹泻3天于1984年7月28日入院。1974年因肾衰、恶性高血压接受尸体肾移植。1978年患糖尿病,用 D860治疗。肾移植及住院期间定期作尿培养,发现6次不同菌种的尿感,最后一次是1983年1月。入院前1个月尿培养阴性,血肌酐(Scr)1.2mg/dl。住院期间体温38.5℃,尿蛋白、尿红细胞,亚硝酸盐试验阳性。免疫抑制疗法采用硫唑嘌呤100mg/d,强的松10mg/d。Scr 5.8mg/dl,血白细胞11900/mm~3,红细胞沉降率100mm/h。给予氟氯青霉素及庆大霉素治疗,血培养大肠杆菌生长,腹部 CT 示肾低密度块影约1×2cm,肾实质尚有更小的低密度影。
Case Report Female patient .57 years old, admitted to hospital on July 28, 1984 due to anorexia, myalgia, chills, and diarrhea. In 1974 due to renal failure, malignant hypertension accept cadaver kidney transplantation. Diabetes in 1978, with D860 treatment. During kidney transplantation and hospitalization, regular urinary culture was performed, and urinalysis of 6 different bacterial strains was found, the last of which was January 1983. One month before admission urine culture negative, serum creatinine (Scr) 1.2mg / dl. During hospitalization body temperature 38.5 ℃, urine protein, urine red blood cells, nitrite test was positive. Immunosuppressive therapy with azathioprine 100mg / d, prednisone 10mg / d. Scr 5.8mg / dl, white blood cells 11900 / mm ~ 3, erythrocyte sedimentation rate 100mm / h. Give fluciclovir and gentamicin treatment, blood culture Escherichia coli growth, abdominal CT showed kidney low density block about 1 × 2cm, renal parenchyma, there are still smaller low-density shadow.