RESUMO
The authors review clinical data assembled in 11 patients with sponge kidneys followed up for prolonged periods. The disease is manifested by colics, haematuria and symptoms of bacterial inflammation of the urinary pathways. The basis of the diagnosis is excretory urography with typical changes in the renal pyramids: cystic dilatation of the collecting tubules, calcifications and concrements. The main functional disorder is a decline of the concentrating capacity of the kidneys. In some patients renal tubular acidosis of the distal type can be proved.
Assuntos
Rim em Esponja Medular , Adolescente , Adulto , Feminino , Humanos , Rim em Esponja Medular/diagnóstico , Pessoa de Meia-IdadeRESUMO
The authors deal with the problem of tuberculosis in patients after transplantation of the kidney. They give an account of eight cases of the disease in 647 patients where during the last 22 years transplantations where performed in the Institute for Clinical and Experimental Medicine. The lungs were affected in six patients, incl. three with miliary dissemination affecting also other organs incl. the graft. In one instance the patient's own kidney was affected and once the talar joint. The authors emphasize this atypical course of the disease and the necessity to search for BK in patients where the febrile condition does not recede after corresponding antibiotic treatment. In case of early antituberculotic treatment the prognosis is on the whole favourable.
Assuntos
Transplante de Rim , Tuberculose Pulmonar/etiologia , Adulto , Feminino , Humanos , Terapia de Imunossupressão/efeitos adversos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Tuberculose Pulmonar/tratamento farmacológicoRESUMO
The authors describe a case of tuberculosis after kidney transplantation. They discuss diagnostic and therapeutical problems arising from the specific course of this disease which appears in patients with chronic renal insufficiency treated with immunosuppressives after kidney transplantation.
