Gade Christina, Borup Kirsten
Urologisk Afdeling, Regionshospitalet Randers, DK-8900 Randers, Denmark.
Ugeskr Laeger. 2010 Jan 18;172(3):220-2.
Emphysematous pyelonephritis (EPN) is a rare, life-threatening infection of the kidney, characterized by production of gas within the renal parenchyma or perinephric tissue. Escherichia coli and Klebsiella are the most commonly isolated organisms. Most patients are diabetics. CT is diagnostic. Within half a year two patients with EPN were admitted. They were successfully treated with internal/percutaneous drainage (PCD), and antibiotics. Earlier, acute nephrectomy was first choice treatment, but recent studies point towards PCD and antibiotics as a better alternative.
气肿性肾盂肾炎（EPN）是一种罕见的、危及生命的肾脏感染，其特征是在肾实质或肾周组织内产生气体。大肠埃希菌和克雷伯菌是最常分离出的病原体。大多数患者为糖尿病患者。CT具有诊断价值。半年内收治了2例EPN患者。他们通过内置/经皮引流（PCD）及抗生素治疗获得成功。早期，急性肾切除术是首选治疗方法，但最近的研究表明PCD联合抗生素是更好的选择。
