一例气肿性肾盂肾炎

A Case of Emphysematous Pyelonephritis.

作者信息

Bhalerao V M, Gedam B S, Mukherjee A K

出版信息

J Assoc Physicians India. 2014 Nov;62(11):61-3.

Abstract

Emphysematous pyelonephritis is a rare but dangerous condition in patients with D.M. and urinary tract infection. We report a case of emphysematous pyelonephritis who presented to us with acute abdomen and sepsis. Her CT abdomen showed air in the collecting system of left kidney. She was managed with, I. V. fluids, antibiotics, insulin, and percutaneous nephrostomy. But she died on the 3rd day of hospitalisation due to Multiorgan failure with sepsis.

摘要

气肿性肾盂肾炎是糖尿病患者合并尿路感染时一种罕见但危险的病症。我们报告一例气肿性肾盂肾炎患者，该患者因急腹症和脓毒症前来就诊。她的腹部CT显示左肾集合系统内有气体。我们对她进行了静脉补液、抗生素治疗、胰岛素治疗以及经皮肾造瘘术。但她在住院第3天因脓毒症导致多器官功能衰竭而死亡。