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免疫复合物性肾小球肾炎往往伴发于细菌、病毒和寄生虫感染。但其组织病理学变化不尽相同。常见的病变有肾小球系膜和肾小球内膜形态改变,肾小球基底膜上有补体和免疫复合物沉积。作者报告了一例阿米巴肝脓肿伴发免疫复合物性肾小球肾炎的病例。患者,男性,55岁,1988年1月收住入院。入院主诉为腹痛、高热伴寒战。体检见体温40℃,心肺正常,肝脏压痛,但不肿大。尿沉渣镜检见大量红细胞,红细胞管型,但无白细胞.尿蛋白量为0.3～0.5g/天。血沉为112mm/h,血红蛋白为8.3mmol/L,白细胞计数为11300/mm(?),血清肌酐为141μmol/L,血清尿素为5.8mmol/L.碱性磷酸酶和转氨
Immune complex glomerulonephritis is often associated with bacterial, viral and parasitic infections. However, histopathological changes are not the same. Common lesions have mesangial and glomerular intimal morphological changes, glomerular basement membrane complement and immune complex deposition. The authors report a case of amoebic liver abscess with immune complex glomerulonephritis. Patient, male, 55 years old, admitted to hospital in January 1988. Admitted to the main complaint of abdominal pain, fever and chills. Physical examination found body temperature 40 ℃, normal heart and lungs, liver tenderness, but not swollen. Urine sediment microscopy see a large number of red blood cells, red blood cell tube, but no white blood cells. Urine protein was 0.3 ~ 0.5g / day. Erythrocyte sedimentation rate was 112mm / h, hemoglobin was 8.3mmol / L, white blood cell count was 11300 / mm (?), Serum creatinine was 141μmol / L and serum urea was 5.8mmol / L. Alkaline phosphatase and transaminase