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| 양측 신 절제술로 치료한 칸디다 신 유두괴사증 1예 (Candidal REnal Papillary Necrosis Treated with Bilateral Nepherectomy : Report of a Case) |
| 김석영(Suk Young Kim),방병기(Byung Kee Bang),강상범(Sang Bum Kang),유병현(Byung Hyun Yoo),최용호(Yong Ho Choi),이재필(Jae Pil Lee),윤성로(Sung Ro Yun),김혜수(Hye Soo Kim),이혜경(Hye Kyung Lee) |
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| Abstract |
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Renal papillary necrosis(RPN) is a 4bointerstitial nephropathy accompanied by compromised medullary blood flow that ultimately results in a focal or diffuse ischemic necrosis of segments of the renal medulla. Renal papillary necrosis is infrequently reported as complication of fungal infections. Underlying condi- tions such as prematurity, immunosuppressive therapy, neoplastic disease, previous antibiotic therapy, diabetes mellitus, extensive burn and indwelling vascular catheters were found in candidal RPN. Candidal renal papillary necrosis is a extremely rare and fatal disease. Only 20 cases were reported over the past. There were only three survivors which were diagnosed were treated with antifugal agents early in the clinical course. As far as we know, this case is the first case of candidal RPN treated with bilateral nephrectomy. We report a case of candidal renal papillary necrosis in a 66-year-old diabetic woman treated with bilateral nephrectomy, along with review of the literatures. |
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