Ito S, Kumada N, Ameno Y, Nishizaka Y, Kawashima H, Asakawa M, Nakatani T, Kishimoto T, Maekawa M
Department of Urology, Osaka City University Medical School.
Hinyokika Kiyo. 1990 Feb;36(2):151-5.
A 51-year-old male patient with diabetes mellitus consulted his home doctor because of high fever and right flank pain. Urinalysis showed marked pyuria. Treatment with antibiotics was not completely effective, and he was referred to our hospital for further examination and treatment. CT scan showed an abnormal gas shadow in right renal parenchyma. He was diagnosed with emphysematous pyelonephritis and right subcapsular nephrectomy was done after the control of diabetes mellitus. We reviewed 57 cases of emphysematous pyelonephritis including our case in the Japanese literature, and we discussed about its etiology, symptomatology, choice of treatment and prognosis.
一名51岁的男性糖尿病患者因高热和右侧胁腹疼痛向家庭医生咨询。尿液分析显示有明显的脓尿。抗生素治疗并不完全有效，他被转诊至我院进行进一步检查和治疗。CT扫描显示右肾实质有异常气体阴影。他被诊断为气肿性肾盂肾炎，并在控制糖尿病后进行了右肾包膜下切除术。我们回顾了日本文献中包括我们的病例在内的57例气肿性肾盂肾炎病例，并讨论了其病因、症状、治疗选择和预后。
