Su Chien-Yu, Lee Lung-Chih, Lai Chien-Hao, Wang Yi-Hsi, Yang Yu-Kun, Ng Hwee-Yeong, Lee Wen-Chin, Tsai Yu-Che, Chuang Feng-Rong, Lee Chien-Te
Division of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital- Kaohsiung Medical Center, Chang-Gung University College of Medicine, Kaohsiung, Taiwan.
Ren Fail. 2009;31(2):167-70. doi: 10.1080/08860220802595989.
Emphysematous pyelonephritis (EPN) is a severe and complicated renal infection characterized by gas formation within the infected kidney and its surrounding tissues. Early diagnosis with a high index of suspicion and aggressive treatment are important for improving outcome. Bilateral involvement is rare, and surgical intervention is usually required because of its high mortality rate. A literature review found that EPN has rarely been noted in chronic dialysis patients, and those who show bilateral EPN have demonstrated no survival at all until now. Herein, we presented a 51-year-old diabetic uremic woman who developed right emphysematous pyelitis initially and then progressed to bilateral EPN when hospitalized. Percutaneous drainage (PCD) with simultaneous antibiotic therapy successfully eradicated her renal infection. In this study, all reported cases of EPN in chronic dialysis patients were also reviewed.
气肿性肾盂肾炎（EPN）是一种严重且复杂的肾脏感染，其特征为感染的肾脏及其周围组织内形成气体。早期高度怀疑并进行积极治疗对于改善预后很重要。双侧受累罕见，因其死亡率高，通常需要手术干预。一项文献综述发现，慢性透析患者中很少注意到EPN，而那些表现为双侧EPN的患者迄今为止无一存活。在此，我们报告了一名51岁的糖尿病尿毒症女性，她最初发生了右侧气肿性肾盂炎，住院时进展为双侧EPN。经皮引流（PCD）联合抗生素治疗成功根除了她的肾脏感染。在本研究中，还对慢性透析患者中所有已报道的EPN病例进行了回顾。
