Ortiz Alberto, Petkov Vladimir, Urbano Jose, Contreras Julio, Alexandru Simona, Garcia-Pérez Alicia, Ramos Ana, Cabrera Jesus M, Albalate Marta, Garcia-Cardoso Juan V
Department of Nephrology, Fundación Jiménez Díaz, Madrid, Spain.
Urology. 2007 Aug;70(2):372.e17-9. doi: 10.1016/j.urology.2007.04.044.
Emphysematous pyelonephritis is an uncommon acute infection characterized by the presence of gas in the renal parenchyma. Diabetics account for most cases, and the mortality rate is high. We report a case of emphysematous pyelonephritis after therapeutic embolization of a nonfunctioning renal graft in a nondiabetic dialysis patient. Given the increasing popularity of therapeutic embolization to control graft intolerance syndrome associated with rejected kidneys, physicians should be aware of this potentially severe complication. We discuss the differential diagnosis from entities requiring different management strategies, such as postembolization syndrome, persistence of graft intolerance, and the presence of sterile intrarenal.
气肿性肾盂肾炎是一种罕见的急性感染，其特征为肾实质内出现气体。大多数病例发生于糖尿病患者，死亡率较高。我们报告一例非糖尿病透析患者在对无功能肾移植进行治疗性栓塞后发生气肿性肾盂肾炎的病例。鉴于治疗性栓塞用于控制与移植肾排斥相关的移植不耐受综合征越来越普遍，医生应意识到这种潜在的严重并发症。我们讨论了与需要不同管理策略的疾病的鉴别诊断，如栓塞后综合征、移植不耐受持续存在以及无菌性肾内病变。
