Korean Journal of Nephrology 2009;28(4):339-344.
Two Cases of Bilateral Emphysematous Pyelitis in Patients with Diabetic Chronic Kidney Disease
Gun Woo Kang, M.D. and In Hee Lee, M.D.
Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea
증례 : 당뇨병성 만성 신질환 환자에서 발생한 양측성 기종성 신우염 2예
강건우, 이인희
대구가톨릭대학교 의과대학 내과학교실
Emphysematous pyelitis (EP) is an acute bacterial renal infection characterized by the presence of gas localized to the renal collecting system, sparing the renal parenchyma. It is seen more commonly in women, often associated with underlying diabetes mellitus or obstructing stone disease. To our knowledge, EP has not been frequently reported in the Korean literature. We report here two cases of bilateral EP due to Escherichia coli in 55-year-old female and 44-year-old female patients with diabetic chronic kidney disease, were successfully treated with medical management including intravenous administration of antibiotics. Early diagnosis by means of abdominal computed tomography along with prompt antibiotic therapy may be effective in patients with bilateral EP.
Key Words: Pyelitis, Diabetic nephropathy

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