Tlili-Graiess K, Allègue M, Jemni L, Kraiem C, Ben Romdhane H, Chaieb L, Jeddi M
Service de Radiologie, Hôpital Farhat-Hached, Sousse, Tunisie.
J Radiol. 1987 Nov;68(11):697-700.
Emphysematous pyelonephritis is a severe infection of the Kidney observed mainly in diabetic patients. The disease is characterized by the production of intra-renal and occasionally perirenal gas. Because of the high mortality associated with this fulminant septic infection, it is imperative to establish a prompt diagnosis and start an appropriate therapy early in the course of the disease. We report a case of emphysematous pyelonephritis diagnosed by sonography: sonographic features consist of multiple high amplitude echoes within the renal parenchyma, renal sinus and perirenal space associated with distal shadows containing low level echoes. We discuss the value of the radiologic imaging methods.
气肿性肾盂肾炎是一种主要在糖尿病患者中观察到的严重肾脏感染。该疾病的特征是肾内产生气体，偶尔肾周也会产生气体。由于这种暴发性败血症感染相关的高死亡率，在疾病过程中尽早建立快速诊断并开始适当治疗至关重要。我们报告一例通过超声诊断的气肿性肾盂肾炎病例：超声特征包括肾实质、肾窦和肾周间隙内多个高振幅回声，并伴有包含低水平回声的远端阴影。我们讨论了放射学成像方法的价值。
