Associate Professor, Department of Nephrology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, Bangladesh.
Assistant Registrar, Department of Nephrology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, Bangladesh.
Trop Doct. 2021 Jul;51(3):452-454. doi: 10.1177/0049475520983641. Epub 2021 Jan 7.
Emphysematous pyelonephritis is a rare, severe form of necrotising infection of the kidneys and peri-nephric tissues with gas accumulation, occurring predominantly among patients with diabetes mellitus. Computed tomography scan can identify the distribution of gas in the affected reno-ureteral units and so establish and classify the diagnosis. We report a case of class 4 emphysematous pyelonephritis with emphysematous cystitis, occurring in a young Bangladeshi male, who presented with features of upper urinary tract infection. He had a background history of fibro-calculous pancreatic diabetes and chronic kidney disease. Imaging also revealed renal stones. He responded to conservative treatment.
气肿性肾盂肾炎是一种罕见且严重的肾及肾周组织坏死性感染，主要发生于糖尿病患者。计算机断层扫描可识别受累肾输尿管单位的气体分布，从而确立并分类诊断。我们报告了一例 4 级气肿性肾盂肾炎合并气肿性膀胱炎，发生于一位年轻的孟加拉国男性，表现为上尿路感染的特征。他有纤维性钙化性胰腺糖尿病和慢性肾脏病的病史。影像学还显示肾结石。他对保守治疗有反应。
