Ogura Y, Kameda K, Hayashi N, Arima K, Yanagawa M, Kawamura J
Department of Urology, Faculty of Medicine, Mie University.
Hinyokika Kiyo. 1999 Sep;45(9):625-8.
A 74-year-old woman with diabetes mellitus had a high fever, and was treated with antibiotics and insulin in another hospital. She was referred to our department, because CT scan showed the right hydronephrosis and the abnormal gas shadow in the right renal calyces. Ureteral catheterization was performed on the right side and cloudy urine was drained. Urine culture yielded E. coli. Since submucosal emphysematous changes were demonstrated in the bladder mucosa by cystoscopy, she was diagnosed with emphysematous pyelonephritis with emphysematous cystitis associated with diabetes mellitus. Administration of antibiotics and insulin and the ureteral catheter drainage improved her condition immediately. Abnormal gas shadow on CT scan and submucosal emphysema on cystoscopy disappeared. We reviewed 110 cases of emphysematous pyelonephritis and 23 cases of emphysematous cystitis including our case in Japan, and report their clinical characteristics.
一名74岁的糖尿病女性患者出现高热，在另一家医院接受了抗生素和胰岛素治疗。她被转诊至我院，因为CT扫描显示右侧肾积水以及右肾盏内有异常气体影。对右侧进行了输尿管插管，引出了浑浊尿液。尿液培养检出大肠杆菌。由于膀胱镜检查显示膀胱黏膜有黏膜下气肿改变，她被诊断为患有与糖尿病相关的气肿性肾盂肾炎和气肿性膀胱炎。使用抗生素、胰岛素以及输尿管导管引流后，她的病情立即得到改善。CT扫描上的异常气体影和膀胱镜检查时的黏膜下气肿消失。我们回顾了日本包括我们这例在内的110例气肿性肾盂肾炎病例和23例气肿性膀胱炎病例，并报告了它们的临床特征。
