Korean Journal of Nephrology 2001;20(2):319-322.
증례 : Pelvis에 생긴 Gas Pattern 을 보이는 기종성 신우신염의 내과적 치험 1 예 (A Case of Emphysematous Pyelonephritis in a Diabetic Patients : Radiographic Demonstration of Gas Shadow in Renal Pelvis Experiance of Successful Management by Medical Treatment)
이동주(Dong Joo Lee),황동인(Dong In Hawng),한상국(Sang Kook Han),김석은(Seok En Kim),박석준(Suk Joon Park)
Abstract
Emphysematous pyelonephritis is an uncommon and, but life-threatening necrotizing inflammation of renal parenchyme and perinephric tissue by gas-forming organisms. This disease is encountered mainly in patients with uncontrolled diabetes mellitus and/or urinary tract obstruction etc. Clinically, it appears as an acute severe clinical pyelonephritis that needs emergency care with poor prognosis. Though the pathogenesis of this disease is still pooly understood, radiographic demonstration of gas shadow in renal parenchyme and peri- nephritic tissue establishes the diagnosis of emphysematous pyelonephritis. The identification of this finding has been believed to consider incision and drainage or nephrectomy in addi- tion to medical treatment, because of high mortality rate of this disease in spite of vigorous medical man- agement. We herein present 1 diabetic patient with emphysematous pyelonephritis who responded to medical treatment alone. The patient was treated with antibiotics alone, the clinical signs and laboratory findings were improved, CT scan 1 month after medical treatment revealed absence of gas in the renal pelvis.
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