Rauf Anis A, Shanaah Almothana, Joshi Amit, Popli Subhash, Vaseemuddin Mohammad, Ing Todd S
Nephrology Section, Hines VA/Loyola University Medical Center, Hines; Illinois; Loyola University Medical Center, Department of Nephrology, 2160 First Avenue, Bldg 201, Rm 3601, Maywood, IL 60153, USA.
Indian J Urol. 2007 Apr;23(2):200-2. doi: 10.4103/0970-1591.32077.
We describe a diabetic patient who presented with acute renal failure as a result of acute bilateral emphysematous pyelonephritis. Initially, both an abdominal X-ray examination and a renal sonogram were unremarkable. Two days later, however, the previously visualized right kidney could not be demonstrated again by a repeat renal sonogram. A computed tomogram and a repeat abdominal X-ray study confirmed the diagnosis of emphysematous pyelonephritis. To our knowledge this is one of the few described cases of emphysematous pyelonephritis distinguished by a sonogram's inability to visualize a kidney because of interference with imaging by the gas produced by the bacteria that are responsible for the pyelonephritic infection.
我们描述了一名糖尿病患者，该患者因急性双侧气肿性肾盂肾炎而出现急性肾衰竭。最初，腹部X线检查和肾脏超声检查均无异常。然而，两天后，重复进行的肾脏超声检查未能再次显示之前可见的右肾。计算机断层扫描和重复的腹部X线检查证实了气肿性肾盂肾炎的诊断。据我们所知，这是少数几例因引起肾盂肾炎感染的细菌产生的气体干扰成像而导致超声无法显示肾脏的气肿性肾盂肾炎病例之一。
