d'Escrivan T, Duval A, Faure K
Service de réanimation et maladies infectieuses, centre hospitalier Dron, 135, rue du Président-Coty, 59208 Tourcoing cedex, France.
Med Mal Infect. 2006 Aug;36(8):432-3. doi: 10.1016/j.medmal.2006.03.004. Epub 2006 Jul 18.
Emphysematous pyelonephritis is an acute bacterial infection responsible for a high mortality. It is characterized by bacterial gas production in the renal parenchyma, occurring in diabetic patients in most case. The gold standard treatment has always been surgery associated with antibiotic therapy. We report the case of a 58 year-old woman, with undocumented diabetes, who presented with emphysematous pyelonephritis complicated with septic shock and acute renal failure. Antibiotherapy alone was successful.
气肿性肾盂肾炎是一种导致高死亡率的急性细菌感染。其特征是肾实质内产生细菌气体，多数情况下发生于糖尿病患者。一直以来，金标准治疗方法是手术联合抗生素治疗。我们报告一例58岁女性病例，该患者糖尿病情况不明，表现为气肿性肾盂肾炎并发感染性休克和急性肾衰竭。单独使用抗生素治疗取得了成功。
