Al-Hajjaj Maher, Kanjo Muhamad
Department of Urology, Aleppo University Hospital, Aleppo, Syria.
Department of Internal Medicine, Aleppo University Hospital, Aleppo, Syria.
Radiol Case Rep. 2022 Jun 27;17(9):3162-3164. doi: 10.1016/j.radcr.2022.05.093. eCollection 2022 Sep.
Emphysematous pyelonephritis, a necrotizing kidney infection, is a rare condition with a poor prognosis. We present a case of 24-year-old male with fever, malaise, and left flank pain. Computed tomography of abdominal and pelvis showed left emphysematous pyelonephritis. Treatment included IV antibiotics. A left nephrectomy was necessitated for definitive treatment. Clinical course after surgery was unremarkable. In conclusion, prompt diagnosis of emphysematous pyelonephritis is necessary to reduce morbidity and mortality. In some cases, nephrectomy is the definite treatment.
气肿性肾盂肾炎是一种坏死性肾脏感染，是一种预后较差的罕见病症。我们报告一例24岁男性，有发热、不适和左侧腰痛症状。腹部和骨盆的计算机断层扫描显示为左侧气肿性肾盂肾炎。治疗包括静脉注射抗生素。为进行确定性治疗，需要进行左侧肾切除术。术后临床过程无异常。总之，气肿性肾盂肾炎的及时诊断对于降低发病率和死亡率是必要的。在某些情况下，肾切除术是确定性治疗方法。
