D'Amico Maria, Izes Joseph, Das Akhil
Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, 19107, USA.
Urol Case Rep. 2021 Oct 12;40:101895. doi: 10.1016/j.eucr.2021.101895. eCollection 2022 Jan.
Emphysematous pyelonephritis is a severe and rare gas producing infection in the renal parenchyma or collecting system. Diabetes mellitus is an established risk factor. Treatment options include antibiotics, minimally invasive management such as percutaneous drainage, or nephrectomy. This case report describes a 40-year-old female with newly diagnosed diabetes and cirrhosis who presented with left sided emphysematous pyelonephritis. After initial management with intravenous antibiotics and drainage of the collecting system, this patient's clinical condition worsened, and subsequent repeat imaging revealed bilateral emphysematous pyelonephritis as well as pneumatosis intestinalis.
气肿性肾盂肾炎是一种发生于肾实质或集合系统的严重且罕见的产气感染性疾病。糖尿病是已明确的危险因素。治疗选择包括抗生素、经皮引流等微创治疗或肾切除术。本病例报告描述了一名40岁新诊断为糖尿病和肝硬化的女性，她因左侧气肿性肾盂肾炎就诊。在最初采用静脉抗生素治疗和集合系统引流后，该患者的临床状况恶化，随后的重复影像学检查显示双侧气肿性肾盂肾炎以及肠壁积气。
