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急性肾炎除由链球菌引起外,还可能由多种细菌、原虫、病毒而发生。伤寒杆菌引起肾炎文献报道极少。我们曾见一例,报告如下。夏某某,男、20岁。因持续性高热伴纳呆两周,于1984年11月4日入院。发病后有1～2天腹泻史。大便稀,无红白胨,无里急后重感。不咳嗽,无鼻塞咽痛等。尿少,有眼险和两下肢浮肿。发热波动在39℃—40℃之间。过去没有浮肿和肾炎史。体检:体温39.2℃,心率96次/分,BP120/60mmHg,无欲貌,急性发热面容。扁桃体Ⅰ°肿大,无分泌物,也不充血。巩膜不黄。腹软脾不大,肝肋下1.5cm,质软,无压痛。全身未触及肿大的浅表淋巴结、也未见皮疹、破溃和感染灶。
In addition to acute nephritis caused by Streptococcus, but also by a variety of bacteria, protozoa, viruses and occur. Salmonella typhi caused very little literature reported. We have seen an example. The report is as follows. Xia Moumou, male, 20 years old. Due to persistent high fever with admission stay two weeks, on November 4, 1984 admission. After the onset of 1 to 2 days history of diarrhea. Stool thin, no red peptone, no tenesmus after heavy feeling. No cough, no nasal sore throat and so on. Less urine, eye injury and lower extremity edema. Fever fluctuations between 39 ℃ -40 ℃. No history of edema and nephritis in the past. Physical examination: body temperature 39.2 ℃, heart rate 96 beats / min, BP120 / 60mmHg, no desire appearance, acute fever face. Tonsils I ° swollen, no secretions, nor congestion. Sclera not yellow. Abdomen soft spleen not, liver rib 1.5cm, soft, no tenderness. The body did not touch the enlarged superficial lymph nodes, but also no rash, ulceration and infection foci.