GINMU >
01 奈良県立医科大学 >
011 医学部 >
0112 紀要 >
01121 Journal of Nara Medical Association >
Vol.48 No.5 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/389
|
タイトル: | 血行性腎孟腎炎による急性腎不全で発症した感染性心内膜炎の1例 |
その他のタイトル: | A CASE OF INFECTIVE ENDOCARDITIS COMPLICATED BY ACUTE RENAL FAILURE DUE TO HEMATOGENOUS PYELONEPHRITIS |
著者: | 濱野, 一將 友田, 芳夫 岩野, 正之 藤本, 眞一 西野, 俊彦 椎木, 英夫 土肥, 和紘 |
キーワード: | infective endocarditis acute renal failure solitary kidny |
発行日: | 1997年10月31日 |
出版者: | 奈良医学会 |
引用: | 奈良医学雑誌 Vol.48 No.5 p.263-267 |
抄録: | We report a case of infective endocarditis (IE) with acute renal failure. A
30-year-old man who had undergone right nephrectomy due to a traffic accident was
admitted to our hospital because of fever and oliguria. He had suffered from an infected
nail on a right toe two years bofore admission. Two weeks prior to admission, a high-grade
fever, chills, and malaise developed, and the patient noticed many Osler's nodes on his hands
and feet. Laboratory data on admission disclosed a marked increase in serum creatinine
(7.6mg/dl) and leukocytosis with a left shift. An echocardiogram revealed a large
vegetation on a posterior leaflet of the mitral valve, complicated by moderate mitral
regurgitation. Cultures of blood and urine samples yielded Staphylococcus aureus. IE and
acute renal failure were diagnosed. The patient received cephazolin (8g dialy) and
underwent hemodialysis. Three days after admission, urine volume increased and
hemodialysis was discontinued. The high fever disappeared one month later. A renal
biopsy performed on the 50 th hospital day revealed interstitial nephritis accompanied by
neutrophilic infiltration. Neither crescent nor mesangial proliferation was evident. This
was an extremely rare case in which renal failure was probably caused by hematogenous
pyelonephritis affecting the solitary kidney. |
URI: | http://hdl.handle.net/10564/389 |
ISSN: | 04695550 13450069 |
出現コレクション: | Vol.48 No.5
|
このリポジトリに保管されているアイテムは、他に指定されている場合を除き、著作権により保護されています。
|