Al-Hajjaj Maher, Tallaa Mohamed
Aleppo University Hospital, Aleppo, Syria.
Al-Moujtahed Hospital, Damascus, Syria.
Ann Med Surg (Lond). 2022 Jan 28;74:103281. doi: 10.1016/j.amsu.2022.103281. eCollection 2022 Feb.
Emphysematous pyelonephritis is a rare necrotizing infection of the kidney. It should be diagnosed early because it has a bad prognosis. Treatments range from intravenous antibiotics to nephrectomy in severe cases.
A 67 years old female with uncontrolled diabetes mellitus presented with fever, right flank pain, and dysuria. Computed tomography for abdominal and pelvis showed gas inside the right kidney. After administration of intravenous antibiotics, she underwent right nephrectomy. Next, she was admitted to intensive care unit for monitoring. After three days, she was discharged with no complains. Follow-up for three months showed full recovery.
Emphysematous pyelonephritis is an emergent condition. A history of uncontrolled diabetes mellitus with current flank pain with fever raises the suspicion. Computed tomography could be performed to confirm the diagnosis.
Severe cases of emphysematous pyelonephritis are an emergent condition that needs nephrectomy.
气肿性肾盂肾炎是一种罕见的肾脏坏死性感染。因其预后不良，故应早期诊断。治疗方法从静脉使用抗生素到严重病例行肾切除术不等。
一名67岁未控制的糖尿病女性患者，出现发热、右侧腰痛和排尿困难。腹部和盆腔计算机断层扫描显示右肾内有气体。静脉使用抗生素治疗后，她接受了右肾切除术。接下来，她被收入重症监护病房进行监测。三天后，她无不适出院。随访三个月显示完全康复。
气肿性肾盂肾炎是一种急症。有未控制的糖尿病史且目前伴有发热的侧腰痛会引起怀疑。可行计算机断层扫描以确诊。
严重的气肿性肾盂肾炎病例是一种需要行肾切除术的急症。
