Korean Journal of Nephrology 1999;18(2):348-352.
장기간 공기 음영이 지속된 기종성 신우신염의 내과적 치험 1예 (A Case of Emphysematous Pyelonephritis in Which Intrarenal Gas Persistently Appeared over 1 month : Experience of Successful Management by Medical Treatment)
복현정, 김영옥, 김세희, 박준일, 윤선애, 양철우, 송하헌, 방병기 (Hyun Jung Bok, Young Ok Kim, Se Hee Kim, Joon Il Park, Sun Ae Yoon, Chul Woo Yang and Byung Kee Bang)
Abstract
Emphysematous pyelonephritis is an uncommon and life-threatening necrotizing infection of the renal parenchyma that requires prompt diagnosis and early treatment. It is associated with gas-forming coliform bacteria, and is characterized by the presence of gas within the renal parenchyma. The clinical picture and gas pattern should be monitored carefully before a surgical desion is made. If there is persistence of gas on serial x-rays despite aggressive therapy, prompt surgical therapy is recommended. We herein present 1 diabetic patient with emphysematous pyelonephritis who responded to medical treatment alone. The presence of gas was confirmed by CT scan and Escherchia coli was isolated in both urine and blood cultures. The patient was treated with antibiotics alone. Although the clinical signs and laboratory findings were improved, intrarenal gas persistently appeared over 1 month. CT scan 2 month after medical treatment revealed absence of gas in the renal parenchyma.
TOOLS
METRICS Graph View
  • 318 View
  • 10 Download
Related articles


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
#301, (Miseung Bldg.) 23, Apgujenog-ro 30-gil, Gangnam-gu, Seoul 06022, Korea
Tel: +82-2-3486-8736    Fax: +82-2-3486-8737    E-mail: registry@ksn.or.kr                

Copyright © 2024 by The Korean Society of Nephrology.

Developed in M2PI

Close layer