BILATERAL RENAL CORTICAL NECROSIS IN 2 PATIENTS WITH NEISSERIA-MENINGITIDIS SEPSIS

被引:6
作者
CHERVU, I
KOSS, M
CAMPESE, VM
机构
[1] UNIV SO CALIF,SCH MED,DEPT MED,LOS ANGELES,CA 90033
[2] UNIV SO CALIF,SCH MED,DEPT PATHOL,LOS ANGELES,CA 90033
关键词
BILATERAL RENAL CORTICAL NECROSIS; NEISSERIA-MENINGITIDIS; SEPSIS; SHWARTZMAN REACTION; MENINGOCOCCEMIA; MENINGOCOCCAL MENINGITIS;
D O I
10.1159/000168348
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Two patients who developed bilateral renal cortical necrosis as a consequence of Neisseria meningitidis infections are described: 1 patient had meningococcemia and the other had meningococcal meningitis. Both patients developed a Shwartzman-like reaction, disseminated intravascular coagulation and irreversible renal failure. Renal biopsy showed sclerosis of the majority of glomeruli; some glomeruli showed capillary congestion, thrombosis and an increased number of neutrophils; the intralobular arterioles showed thrombotic occlusions.
引用
收藏
页码:411 / 415
页数:5
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