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今天在跟門診時，老師提到urinary tract infection 會造成 "pseudo "type 4 renal tubular acidosis ，似乎有提到是因為會造成 renal distal tubule 的 aldosterone receptor的減少 ，想問問有人知道更詳細的機轉嗎？然後應該是只有upper urinary tract infection 才會造這樣的 clinical manifestation 吧？