慢性肾衰竭合并布鲁菌病一例
Shanghai Medical Journal（2020）
Abstract
布鲁菌病属于人畜共患传染病,临床多表现为发热、乏力、多汗、关节痛、睾丸痛,以及淋巴结、肝、脾肿大;也可引起布鲁菌病性脊柱炎,表现为椎旁脓肿,以腰椎受累最为常见.MRI检查对诊断布鲁菌病引起的腰椎旁脓肿具有较高的灵敏度和特异度.慢性肾衰竭合并布鲁菌病的报道较少,临床上容易漏诊或误诊.布鲁菌感染还可引起布鲁菌性肾小球肾炎.本文报道1例慢性肾衰竭合并布鲁菌病,结合文献复习,总结临床诊治经验.
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