Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report

Aleksandar Vodovnik

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Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report

机译：长期接受类固醇治疗的免疫功能低下患者的孤立性弥漫性浸润性肾曲霉病：一例报告

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A 53-year-old Indian lady suffered from type 2 diabetes and hypothyroidism and was on longstanding steroid therapy. She was urgently admitted to the hospital with a high white cell count and high creatinine. On imaging no space occupying lesions were shown. In spite of intensive therapy the patient died a week after admission. Post mortem examination revealed markedly enlarged kidneys with areas of necrosis, hemorrhagic infarction, inflammatory response and granulomas related to the widespread glomerular, tubulo-interstitial and vascular involvement by aspergillus. Renal disease may present as bilateral diffuse parenchymal involvement with blood vessel invasion causing organ failure.

机译：一名53岁的印度裔女士患有2型糖尿病和甲状腺功能减退症，并接受长期的类固醇治疗。她因白细胞计数高和肌酐高而紧急入院。影像学上未显示占位性病变。尽管进行了强化治疗，但患者入院一周后死亡。验尸后发现肾脏明显肿大，坏死，出血性梗塞，炎症反应和肉芽肿与曲霉菌引起的广泛的肾小球，肾小管间质和血管受累有关。肾脏疾病可能表现为双侧弥漫性实质累及血管侵犯，引起器官衰竭。

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《Cases Journal》 |2009年第1期|共页
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Aleksandar Vodovnik;
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中图分类临床医学;
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1. Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report [J] . Aleksandar Vodovnik Cases Journal . 2009,第1期

机译：长期接受类固醇治疗的免疫功能低下患者的孤立性弥漫性浸润性肾曲霉病：一例报告
2. NEBULIZED AMPHOTERICIN B PROPHYLAXIS IN IMMUNOCOMPROMIZED TO PREVENT INVASIVE PULMONARY ASPERGILLOSIS: SYSTEMATIC REVIEW AND META ANALYSIS [J] . Zaidan Tasneem, Bajouda Asrar, Aldabbagh Mona Transplant international : . 2019,第S2期

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3. Role of Toll-like receptors in lung innate defense against invasive aspergillosis. Distinct impact in immunocompetent and immunocompromized hosts. [J] . Chignard M, Balloy V, Sallenave JM, Clinical immunology: The official journal of the Clinical Immunology Society . 2007,第3期

机译：Toll样受体在针对侵袭性曲霉病的肺先天防御中的作用。对具有免疫能力和免疫功能低下的宿主的影响不同。
4. Diffuse brainstem hypertensive encephalopathy in a patient with renal failure: A case report [C] . Chang Ying, Xing Ying, Yang Hong, 2011 International Conference on Human Health and Biomedical Engineering . 2011

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6. Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report [O] . Aleksandar Vodovnik 2009

机译：长期接受类固醇治疗的免疫功能低下患者的孤立性弥漫性浸润性肾曲霉病：一例报告
7. Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report [O] . Aleksandar Vodovnik 2009

机译：长期接受类固醇治疗的免疫功能低下患者的孤立性弥漫性浸润性肾曲霉病：一例报告

Isolated diffuse invasive renal aspergillosis in an immunocompromized patient due to longstanding steroid treatment: a case report

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