健康成人肾肿块的不寻常表现:急性大叶性肾病病例报告及文献复习

O. Yalbuzdağ, Barış Karademir, Burak Karabacakoğlu, C. S. Isoglu, T. Süelözgen, U. Miçooğulları, M. Keskin, Y. Ilbey
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摘要

Öz急性大叶性肾病(ALN)是一种肾脏感染,可与占位性固体肿块混淆。常见于儿童,25%的病例可发展为肾脓肿。ALN的一线治疗是药物治疗。这里,一名30岁的女性患者因恶心、呕吐、腹部疼痛和发烧被送入急诊科。计算机断层扫描(CT)显示右侧肾实质呈楔形肿块。抗生素治疗第6天,患者右侧疼痛完全恢复,体格检查无肋椎角压痛。患者治疗21天后出院,无并发症。出院当天CT未见肿块表现。虽然ALN多见于儿童和免疫抑制患者,但也见于年轻成人患者,如本例。一个案例
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An Unusual Presentation of Renal Mass in a Healthy Adult: Acute Lobar Nephronia Case Report and Review of the Literature
Öz Acute lobar nephronia (ALN) is a kidney infection that can be confused with space-occupying solid masses. It is usually seen in children and renal abscess may develop in 25% of the cases. First-line treatment of ALN is medical treatment. Here, a 30-year-old female patient was admitted to the emergency department with nausea, vomiting, flank pain and fever. Computed tomography (CT) showed an appearance of a wedge-shaped mass in the right renal parenchyma. On the 6th day of antibiotherapy, his right side pain was completely recovered and there was no costovertebral angle tenderness on physical examination. The patient was discharged after completing 21 days of treatment without any complications. There was no mass appearance in the CT images taken on the day of discharge. Although ALN is more frequently seen in children and immunosuppressive patients, it can be seen in young adult patients as in this case. A Case with
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