Chronic Pyelonephritis Presenting as Multiple Tumor-Like Renal Lesions
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概要
- 論文の詳細を見る
We encountered a 49-year-old Japanese man in whom tumor-like renal lesions developed as a result of chronic Staphylococcus aureus pyelonephritis. The patient complained of general fatigue, weight loss, and anorexia for 6 months. Contrast-enhanced computed tomography (CT) of the abdomen revealed multiple low-density lesions in both kidneys and paraaortic lymphadenopathy. A strong uptake of Ga67 citrate in the lesions and elevation of serum soluble interleukin-2 receptor and thymidine kinase activity were strongly suggestive of primary renal lymphoma; however, histologic examination of renal biopsy specimens revealed severe tubulointerstitial change, consistent with chronic pyelonephritis. Following systemic antibiotic treatment, multiple tumor-like lesions regressed 4 months later. This case suggested that chronic pyelonephritis could present as bilateral renal tumors.
- 社団法人 日本内科学会の論文
著者
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Hishida Akira
First Department Of Medicine Hamamatsu University School Of Medicine
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Ohtake Takayasu
Department Of Nephrology And Kidney And Dialysis Center Shonan Kamakura General Hospital
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Seki Akihiko
Department Of Health Care Medicine Kawasaki Medical School
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SUDOKO HIROSHI
Department of Urology, Fujinomiya Municipal Hospital
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Komiyama Akira
Department Of Lightwave Sciences Osaka Electro-communication University
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TSUJI Takayuki
First Department of Medicine, Hamamatsu University School of Medicine
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Kato Akihiko
Division Of Blood Purification Hamamatsu University School Of Medicine
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Tsuji Takayuki
First Department Of Medicine Hamamatsu University School Of Medicine
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Yonemura Katsuhiko
Department of Internal Medicine, Fujinomiya City General Hospital
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- FOREWORD
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- Chronic Pyelonephritis Presenting as Multiple Tumor-Like Renal Lesions