黄色肉芽肿性肾盂肾炎,国内报道甚少,我们遇到一例误诊为肾结核,为提高对本病的认识,特报告如下: 患者,女性,36岁。一年前无任何诱因感右腰部疼痛,不向它处放射,无肉眼血尿。曾在外院诊断为“泌尿系感染”,治疗后症状消失。同年8月又感右腰部疼痛,再次入该院,诊断为“右肾多发性结石“,治疗两周后好转出院,近一个月右腰部疼痛加重并伴有低热,但无明显膀胱刺激征。于80年4月27日收入我院。 查体:体温38.7℃,脉博86次/分,血压120/60毫米 Yellow granulomatous pyelonephritis, very few domestic reports, we encountered a case of misdiagnosed as renal tuberculosis, in order to improve awareness of the disease, the special report is as follows: Patients, women, 36 years old. A year ago without any incentive to feel right lower back pain, do not radiate to it, no gross hematuria. Have been diagnosed in the outer hospital as “urinary tract infection”, the symptoms disappear after treatment. In the same year in August and right lower back pain, again into the hospital, diagnosed as “multiple stones of the right kidney,” after two weeks of treatment improved discharge, right lower back pain and associated with fever for nearly a month, but no obvious bladder irritation. In April 80, 80 income in our hospital. Physical examination: body temperature 38.7 ℃, Pulse Bo 86 times / min, blood pressure 120/60 mm