If Leptospira gets to the kidneys, it may infect the interstitium, causing interstitial nephritis, or it may cause an inflammatory reaction that damages the renal tubules, resulting in acute tubular necrosis.

如果钩端螺旋体进入肾脏，它会感染肾间质而引起间质性肾炎，也能引发炎性反应损伤肾小管，导致急性肾小管坏死。

Alright, finally we have damage to the kidney interstitium as a cause of intrarenal AKI, one key example being acute interstitial nephritis, which is inflammation of the interstitium over the course of days to weeks.

好，最后，我们来看肾间质损害作为病因的情况，一个关键的例子就是急性间质性肾炎，这是持续数天到数周的间质炎症。

So as a quick recap, intrarenal AKI is kidney injury caused by something within the kidneys themselves, which could be the tubules as in acute tubular necrosis, the glomerulus as in glomerulonephritis, or the interstitium as in acute interstitial nephritis.

好！快速回顾一下：肾性急性肾损伤是由肾脏内部引起的急性肾损伤，可能是小管，如急性肾小管坏死；或肾小球，如肾小球肾炎；或肾间质，如急性间质性肾炎。