Ballaty Limam Ahmed, Boukhannous Ibrahim, Chennoufi Mehdi, El Moudane Anouar, Mokhtari Mohamed, Barki Ali
Department of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, Morocco.
Urol Case Rep. 2021 Apr 29;38:101698. doi: 10.1016/j.eucr.2021.101698. eCollection 2021 Sep.
Emphysematous pyelonephritis (EPN) on a single kidney is an extremely uncommon necrosing infection of renal parenchyma due often to infection by a gas-producing bacteria in a patient with uncontrolled diabetes mellitus. The management associate aggressive fluid and electrolyte resuscitation with several dialysis sessions, control of blood sugar levels, and broad-spectrum antibiotics with an urgent drainage. This paper aims to describe a case of a 68-year-old diabetic male patient who presented with EPN on a single kidney managed by conservative treatment.
孤立肾气肿性肾盂肾炎（EPN）是一种极为罕见的肾实质坏死性感染，通常由产气细菌感染所致，多见于糖尿病控制不佳的患者。治疗措施包括积极进行液体和电解质复苏、多次透析、控制血糖水平、使用广谱抗生素以及紧急引流。本文旨在描述一例68岁男性糖尿病患者，其孤立肾发生气肿性肾盂肾炎，采用保守治疗。
