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本文报告了第一例阴道毛滴虫引起的肾周围脓肿病例。患者是58岁的泰国妇女。15个月前有血尿及外阴搔痒史,经治疗后血尿停止,但又发生了耻骨上部疼痛和频尿,用抗痉挛剂后从尿内排出了一块结石,耻骨上部疼痛消失。这次因车祸腹部和腰窝受伤,上腹部右侧剧痛并有寒热,经他院用四环素、青霉素、链霉素及镇痛剂治疗无效而入院。入院时,患者苍白,虚弱,表现为慢性病症;上腹部右侧压痛,体温37.4℃,白细胞16,800,中性细胞90％;尿镜检有许多阴道毛滴虫和少数白细胞与红细胞,厚血膜疟原虫阴性;胸部X线透视和心电图正常,腹部X线摄片显示上腹右侧有一软组织肿块。开始采用保守疗法及镇痛剂,病情渐趋恶化,上腹右侧疼痛加剧,肿
This article reports the first cases of Trichomonas vaginalis caused by renal abscess cases. The patient is a 58 year old Thai woman. 15 months ago hematuria and genital itching history, after treatment of hematuria stopped, but the occurrence of suprapubic pain and urinary frequency, antispasmodic agents discharged from the urinary stones, suprapubic pain disappeared. The car accident belly and waist injury, right upper quadrant pain and cold, by his hospital with tetracycline, penicillin, streptomycin and analgesic treatment ineffective and admitted to hospital. On admission, the patient was pale and weak, presenting with a chronic condition. The right upper abdomen was tender with a body temperature of 37.4 ° C, a white blood cell of 16,800 and a neutral cell of 90%. There were many Trichomonas vaginalis and a few leukocytes and erythrocytes, Plasmodium negative; chest X-ray and ECG normal, abdominal X-ray showed a soft tissue mass on the right side of the upper abdomen. Began to use conservative treatment and analgesics, the condition deteriorating, abdominal pain on the right increased, swollen