PDF(Pubmed)
Abstract：
A 51-year-old male with a history of Cacchi-Ricci disease and long-standing infection with various species of Borrelia, Babesia, and Bartonella presented with recurrent symptoms of right-sided flank pain. Numerous renal calculi were identified on imaging. The etiology of the calculi had not been previously elucidated. Symptoms intermittently date back to 2002 when uric acid stones were identified. Subsequent calculi analysis revealed calcium oxalate stones. Despite the commonality of nephrolithiasis in patients with Cacchi-Ricci disease, the extreme number of calculi and recurrent presentation of symptoms persisted despite a plethora of medical evaluations, dietary changes, and hereditary testing. This case raises questions of etiology including possible immune deficiency and whether his uncommon microbial history contributes to recurrent stone formation.
摘要：
一名51岁的男性，有Cacchi-Ricci病病史，长期感染各种疏螺旋体，巴贝西亚,巴尔通体表现为右侧腹部疼痛的反复症状。影像学上发现了许多肾结石。先前尚未阐明结石的病因。间歇性症状可以追溯到2002年，当时发现尿酸结石。随后的结石分析显示草酸钙结石。尽管在Cacchi-Ricci病患者中肾结石具有普遍性，尽管进行了过多的医学评估，但结石的极端数量和症状的反复出现仍然存在，饮食变化，和遗传测试。此病例引发了病因学问题，包括可能的免疫缺陷以及他的罕见微生物史是否会导致结石复发。
