Singh Manpreet, Barrera Adame Obed, Alaie Mehrdad
Emergency Department, St. Barnabas Hospital (SBH) Health System, Bronx, USA.
Cureus. 2022 Mar 28;14(3):e23579. doi: 10.7759/cureus.23579. eCollection 2022 Mar.
Recognizing life-threatening infections is crucial for an emergency physician. In this case report, we describe an atypical presentation of a severe, infiltrating kidney infection, which, if not recognized early, could have led to a detrimental outcome. Emphysematous pyelitis, which is class I of emphysematous pyelonephritis, is a rare entity, and patients may present with a urinary tract infection or pyelonephritis. To add to this, underrecognition of gram-positive organisms, in this case , can delay treatment and worsen outcomes, as described in this case. Through this case, we wish to create awareness of this disease and to reinforce emergency physicians to keep this entity on their differential diagnosis when evaluating an immunocompromised patient.
识别危及生命的感染对急诊医生至关重要。在本病例报告中，我们描述了一种严重的浸润性肾脏感染的非典型表现，如果不及早识别，可能会导致不良后果。气肿性肾盂炎是气肿性肾盂肾炎的I级类型，是一种罕见的病症，患者可能表现为尿路感染或肾盂肾炎。此外，如本病例所述，革兰氏阳性菌的识别不足会延误治疗并使预后恶化。通过这个病例，我们希望提高对这种疾病的认识，并加强急诊医生在评估免疫功能低下患者时将这种病症纳入鉴别诊断的意识。
