摘要
患者,男,56岁,10年前曾行“左肾切除术”和“膀胱切开取石术”,4个月前因右肾多发结石并重度积水行“右侧输尿管双J管置入术”,2个月前诊断慢性肾衰竭,多次行血液透析治疗,1月前确诊膀胱恶性肿瘤(膀胱高级别浸润性尿路上皮癌),现今因血尿3天入院。入院体温37.8℃,经头孢唑肟抗感染治疗仍反复发热。行中段尿培养,检出阿萨希毛孢子菌、白假丝酵母菌,予“哌拉西林他唑巴坦钠 + 氟康唑”治疗,经联合抗感染治疗3后天无发热。
A 56-years-old male patient is in hospital based on chief complaint of hematuria. The patient un-derwent left nephrectomy and cystolithotomy 10 years ago. Four months ago, he underwent right ureteral double J tube placement due to multiple stones and severe hydronephrosis in the right kidney. Two months ago, he was diagnosed with chronic renal failure and received multiple hemo-dialysis treatments. The patient was diagnosed with high-grade invasive urothelial carcinoma of the bladder more than one month ago, and is now hospitalized for hematuria for 3 days. The body tem-perature at admission was 37.8˚C, and the patient still had recurrent fever after anti-infection treatment with ceftizoxime. Trichosporon asahii and Candida albicans were detected by urine cul-ture, then he was treated with piperacillin tazobactam sodium and fluconazole. After 3 days of com-bined anti-infective treatment, his temperature returned to normal.
出处
《临床医学进展》
2023年第8期12942-12946,共5页
Advances in Clinical Medicine
