Lowe B A, Poage M D
Division of Urology, Oregon Health Sciences University, Portland.
Urology. 1991 Mar;37(3):229-32. doi: 10.1016/0090-4295(91)80290-n.
Emphysematous pyelonephritis is an uncommon and serious infection associated with gas-forming coliform bacteria. Bilateral involvement is rare with only 10 reported cases in the English literature. Prompt and aggressive management is required to salvage these patients. Preservation of renal function using broad-spectrum antibiotics and surgical drainage provide the greatest benefit to these patients. Three new cases are presented with a brief review of the results of management in the reported cases.
气肿性肾盂肾炎是一种罕见且严重的感染，与产气大肠埃希菌有关。双侧受累罕见，英文文献中仅报道过10例。需要迅速且积极的治疗来挽救这些患者。使用广谱抗生素并进行手术引流以保留肾功能对这些患者最为有益。本文报告了3例新病例，并简要回顾了已报道病例的治疗结果。
