Anwar Nelofar, Chawla Lakhmir S, Lew Susie Q
Division of Renal Diseases and Hypertension, Department of Medicine, George Washington University Medical Center, Washington, DC, USA.
Am J Kidney Dis. 2002 Oct;40(4):E13. doi: 10.1053/ajkd.2002.35703.
Emphysematous pyelitis is air in the renal collecting system in patients with urinary tract infections. This entity is uncommon and seen primarily in patients with diabetes mellitus. We report a case of a patient with end-stage renal disease treated with peritoneal dialysis who developed emphysematous pyelitis who presented with signs and symptoms that were more consistent with appendicitis. The spectrum of infections causing air in the urinary tract and the method by which end-stage renal disease patients are treated are discussed. Patients receiving dextrose peritoneal dialysis are at risk for emphysematous pyelonephritis, pyelitis, and cystitis.
气肿性肾盂炎是指尿路感染患者肾集合系统内出现气体。这种情况并不常见，主要见于糖尿病患者。我们报告一例接受腹膜透析治疗的终末期肾病患者发生气肿性肾盂炎，其表现出的体征和症状更符合阑尾炎。本文讨论了导致尿路积气的感染谱以及终末期肾病患者的治疗方法。接受葡萄糖腹膜透析的患者有发生气肿性肾盂肾炎、肾盂炎和膀胱炎的风险。
