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Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus

机译:钩端螺旋体病和糖尿病患者双侧乳头坏死引起的可逆性急性肾脏损伤

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A 60-year-old lady with type 2 diabetes mellitus and hypertension was referred for fever, bilateral loin pain, and renal failure. Investigations showed severe acute renal failure, bilateral renal papillary necrosis (RPN), urinary tract infection (E. coli), and infection with leptospirosis: Leptospira icterohemorrhagica; serovar hardjo. Renal biopsy showed tubulointerstitial nephritis with mesangial proliferation. The diagnosis was bilateral RPN in a diabetic lady with acute renal failure due to leptospirosis. The patient was successfully treated with hemodialysis, injection ceftriaxone, and benzyl penicillin.Keywords: Diabetes mellitus, leptospirosis, renal papillary necrosis
机译:一名患有2型糖尿病和高血压的60岁女士因发烧,双侧腰痛和肾功能衰竭而被转诊。调查显示严重的急性肾功能衰竭,双侧肾乳头坏死(RPN),尿路感染(E. coli)和钩端螺旋体病感染:钩端螺旋体钩端螺旋体;血清型Hardjo。肾活检显示肾小管间质性肾炎伴肾小球膜增生。诊断为患有钩端螺旋体病而导致急性肾功能衰竭的糖尿病女士的双侧RPN。该患者已成功接受血液透析,注射头孢曲松钠和苄青霉素治疗。关键词:糖尿病,钩端螺旋体病,肾乳头坏死

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